Development of Barrett's Esophagus Soon after Total Gastrectomy
Gut and Liver
;
: 51-53, 2008.
Article
in English
| WPRIM
| ID: wpr-110098
ABSTRACT
The role of duodenal reflux and the time required for the development of Barrett's esophagus has remained controversial. We report a case of Barrett's esophagus that developed 6 months after total gastrectomy. A 76-year-old man diagnosed with gastric adenocarcinoma underwent a total gastrectomy and a Rouxen-Y esophagojejunostomy. The gastroesophageal junction in the resected specimen was both grossly and microscopically normal at the time of the operation. A routine follow-up endoscopic examination performed 6 months later revealed a tongue-like projection of redcolored columnar tissue. No reflux symptoms (heartburn or acid regurgitation) had been present during the intervening 6 months. A biopsy specimen from the esophagus showed intestinal-type metaplasia of the columnar epithelium. This case supports the development of Barrett's esophagus solely from duodenal reflux and after a relatively short time in this clinical setting.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Barrett Esophagus
/
Biopsy
/
Adenocarcinoma
/
Follow-Up Studies
/
Duodenogastric Reflux
/
Epithelium
/
Esophagogastric Junction
/
Esophagus
/
Gastrectomy
/
Metaplasia
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Gut and Liver
Year:
2008
Type:
Article
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