期刊文献+

复合结扎加抑酸治疗Barrett食管 被引量:2

Treatment of Barrett's esophagus with compound ligation and acid suppression
原文传递
导出
摘要 目的观察抑酸加复合结扎治疗Barrett食管(BE)的临床效果。方法对40例经内镜和病理诊断为BE的病人,分别采取抑酸加复合结扎(治疗组)和抑酸加抗反流(对照组)治疗。于治疗后3、6、12个月分别进行内镜和病理检查,观察两组BE病人治疗情况。结果治疗组20例BE病人,治疗后3、6、12个月时的有效率分别为65%、70%、80%,而对照组则分别为0、0、25%。治疗组除出现短暂的吞咽疼痛、低热外,无出血、穿孔、狭窄等并发症。结论抑酸加复合结扎治疗BE,疗效高,见效快,长疗程抑酸加抗反流对BE治疗有一定作用。 Objective To observe clinical effect on Barrett's esophagus(BE) treated with compound ligation and acid suppression. Methods Acid suppression with compound ligation (treating group) or acid suppression with anti -retroflux( control group) were used respectively on 40 cases of BE patients dignosed with endoscope and pathology. Endoscope and pathology check were performed 3,6,12 months after therapy, the therapy effect of these two groups were observed, Resuits The effectiveness of treating group(20 cases BE patients)were 65% ,70% ,80% respectively after 3,6,12 months of therapy, while 0,0,25% were observecl on control group. Except transient disphagia and low fever, no complications such as bleeding,perforation or stenosis were observed on treating group. Conclusion The better and faster effect was achieved with acid suppression and compound ligation on BE;the effect was not observed on acid suppression and anti-retroflux until long duration of treatment.
作者 赵敏 孟广霞
出处 《临床医学》 CAS 2005年第8期1-2,共2页 Clinical Medicine
关键词 BARRETT食管 抑酸 复合结扎 疗BARRETT食管 结扎治疗 复合 病理诊断为 治疗组 临床效果 病理检查 Barrett's esophagus Acid suppression Compound ligation
  • 相关文献

参考文献5

  • 1Drewitz DJ, Sampliner RE, Garewal HS. The incidence of adenocarcinomain Barrett's esophagus: a prospective study of 170 patients followed4.8 years. Am J Gastroenteml, 1997,92:212 - 214.
  • 2Hamilton SR. Smith RL, Cameron JL. Prevalence and characters of Barrett′s esophagus in patients with adenocarcinoma of the esophagus or esophagugastric junction. Hum pathol, 1998,19:942 - 948.
  • 3Clark GE, Smyrk TC, Burkiles P. Is Barrett's metaplasia the source of adenocarcinomas of the cardia? Auch Surg, 1994,129:609 - 614.
  • 4Sharma P. Controversies in Barrett's esophagus management of high grade dysplasia. Semin Gastrointest Dis,2001,12:26 -32.
  • 5刘萱,于中麟,张澍田.Barrett食管内镜治疗的现状与展望[J].中华消化内镜杂志,2003,20(3):213-214. 被引量:21

二级参考文献11

  • 1Sharma P. Controversies in Barrett's esophagus: management of high grade dysplasia. Semin Gastrointest Dis, 2001,12:26-32.
  • 2Michopoulos S, Tsibouris P, Bouzakis H. et al. Complete regression of Banett's esophagus with heat probe thermocoagulatioa: mid-term results. Gastrointest Endosc, 1999,50:165-172.
  • 3Ell C, May A, Gossner L. et al. Endoscopic mucosal resection of early cancer and high-grade dysplasia in Barrett's esophagus. Gastroenterology, 2000,118:670-677.
  • 4Gossner L, May A, Stolte M. et al. KTP laser destruction of dysplasia and early cancer in columnar-lined Barrett's esophagus. Gastrointest Endosc, 1999,49:8-12.
  • 5Gossner L, Stohe M, Sroka R. et al. Photodynamic ablation of high-grade dysplasia and early cancer in Barrett's esophagus by means of 5-aminolevulinic acid. Gastroenterology, 1998,114 : 448-455.
  • 6Ackroyd B, Brown NJ, Davis MF. et al. Photodynamic therapy for dysplastic Barrett's oesophagus: a prospective, double blind, randomised, placebo controlled trial. Gut, 2000,47:612-617.
  • 7Krishnadath KK, Wang KK, Taniguchi K. et ai. Persistent genetic abnormalities in Barrett's esophagus after photodynamic therapy.Gastroenterology, 2000,119:624-630.
  • 8Van Laethem JL, Cremer M, Peny MO. et al. Eradication of Barrett's mucosa with argon plasma coagulation and acid suppreasion: immediate and mid term results. Gut, 1998,43:747-751.
  • 9Pereira-Lima JC, Busnello JV, Saul C. et ai. High power setting argon plasma coagulation for the eradication of Barrett's esophagus.Am J Gastroenterol, 2000,95:1661-1668.
  • 10Van Laethem JL, Peny MO, Salmon I. et al Intramueosal adenocarcinoma arising under squamous re-epithelialisation of Barnett's oesophagus. Gut, 2000,46:574-577.

共引文献20

同被引文献52

引证文献2

二级引证文献13

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部