文档介绍：上食管异位胃黏膜19例内镜分析
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摘要目的:探讨上食管异位胃黏膜的内镜、病理、临床特征,以及与barrett食管的鉴别,以提高对该病的认识。方法:通过对临床资料进行回顾性分析,在胃镜检查过程中,退镜至食管入口上食管括约肌处时,进行仔细观察,以了解上食管异位胃黏膜的发生情况,从异常食管黏膜取活检。结果:6011例胃镜检查患者中发现19例上食管异位胃黏膜,发生率032%,平均年龄475岁,病灶大小约05~20cm,其中单病灶12例,2个病灶5例,3个病灶2例;部分患者无任何症状,部分患者可出现一些食管症状或食管外症状。结论:由于上食管异位胃黏膜发病率低,加之位置特殊,在胃镜检查中很容易被内镜医师漏诊,确诊依赖于胃镜活检及病理。
关键词食管异位胃黏膜内镜
abstract objective:to investigate the endoscopic,pathological and clinical characteristics of heterotopic gastric mucosa in the upper esophagus(hgmue),pare with barrett,s order to increasing recognize of :a prospective study was made among a total of 6011 consecutive patients undergoing gastroscopy care was taken in the upper esophageal sphincter area to make sure whether the area was hgmue during withdrawal of the specimens from aberrant mucosa were :hgmue was found in 19 patients of 6011,with a prevalence of %,with an average age of size ranged between and ,appeared as a single patch in 12 patients,as twin patches in 5 patients,and as three patch in 2 patients with extra gastrointestinal symptoms,some of them are asymptions,others are panied with esophagus :hgmue has low incidence,associate with special location in the esophagus,which has been overlooked by depend on biopsy and pathol