1. Columnar-lined esophagus in Chinese patients with proximal gastric carcinomas.
- Author
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Sun, Qi, Huang, Qin, Feng, An Ning, Fan, Xiang Shan, Wu, Hong Yan, Mashimo, Hiroshi, Zhou, Qiang, Chen, Jin, and Lauwers, Gregory Y.
- Subjects
GASTRIC mucosa ,CANCER patients ,ESOPHAGOGASTRIC junction ,BIOPSY ,CANCER - Abstract
Objective To investigate the clinicopathological features of columnar-lined esophagus ( CLE) in Chinese patients. Methods Among 182 consecutive resections of proximal gastric cancer with residual esophageal tissue, 114 were eligible for the study. The maximal lengths of CLE and superficial esophageal glands ( SEG) and the presence or absence of chronic inflammation ( CI), lymphoid follicles ( LF), Helicobacter pylori ( H. pylori) infection, intestinal metaplasia ( IM), pancreatic metaplasia ( PM) and dysplasia were analyzed and compared with those in the adjacent proximal gastric mucosa. Results SEG were present in 110 cases with a mean length of 5.4 mm (range 1-16 mm, 90% equal to or under 10 mm and 10% between 11-16 mm). These glands were associated with CI (95%), LF (85%), H. pylori infection (42%), IM (25%), PM (36%) and dysplasia (10%). CLE was found in 65% of the cases and was associated with SEG (mean length of 4.0 mm, range 1-13 mm, 97% within 10 mm and 3% between 11-13 mm). The frequencies of CI (97%), LF (86%), H. pylori infection (65%) and PM (46%) in CLE were similar to those in the proximal stomach ( CI 90%, LF 54%, H. pylori infection 58%, PM 39%). In contrast, the frequencies of IM (37%) and dysplasia (15%) in CLE were significantly lower than those in the proximal stomach (66% and 31%, respectively; P < 0.01). Conclusions CLE in Chinese patients was within 10 mm in length in 97% of cases, and with SEG and H. pylori infection-related changes similar to those in the proximal stomach. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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