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바렛식도 - 내시경진단을 중심으로

Barrett’s Esophagus - With Emphasis on Endoscopic Disgnosis

이준행
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2009.10|Clinical Endoscopy|제39권 제4호|pp. 185-198

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참고문헌

키워드

감시Management관리SurveillanceEndoscopic diagnosis바렛식도내시경진단Barrett's esophagus
주제분류내과학

초록

바렛식도는 정상적인 식도편평상피가 배세포를 동반한 특수원주상피로 화생성변화를 보인 것으로 정의되고 있다. 지난 10년간 바렛식도의 정의, 내시경진단, 병리진단, 감시 및 관리에 대하여 많은 변화가 있어왔다. 국내에서 위식도역류질환이 증가하고 있으므로 향후 바렛식도와 관련된 문제들이 점차 흔해질 것으로 예측된다. 본 종설에서는 바렛식도를 내시경진단을 중심으로 고찰한 후 우리나라의 역학에 적합한 관리전략을 살펴보았다.

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.

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