Korean Journal of Gastrointestinal Endoscopy 2009;39(4): 185-198.
바렛식도 - 내시경진단을 중심으로
이 준 행
성균관대학교 의과대학 삼성서울병원 내과
Barrett's Esophagus - With Emphasis on Endoscopic Disgnosis
Jun Haeng Lee, M.D.
Department of Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
Abstract
Barrett's esophagus is a metaplastic change of the esophageal mucosa, such that the normal squamous epithelium is replaced by specialized columnar epithelium. During the last decades, there has been a significant change in the definition, endoscopic diagnosis, pathologic diagnosis, surveillance and management of Barrett's esophagus. Because of the rising prevalence of gastroesophgeal reflux disease in Korea, problems related to Barrett's esophagus are expected to be much more common in the near future. In this review, methods of endoscopic diagnosis of Barrett's esophagus are discussed in detail. Management strategies in the context of Korean epidemiology are also suggested. (Korean J Gastrointest Endosc 2009; 39:185-198)
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