High oesophageal stricture with hiatal hernia and a lower oesophagus lined by columnar epithelium
AUTOR(ES)
Corrin, B.
RESUMO
A 23-year-old man with a six months' history of dysphagia was found to have hiatus hernia with reflux and a stricture of the mid-oesophagus. Death from unrelated causes permitted detailed histological examination. This showed a high squamo-columnar junction with ulceration confined to the squamous epithelium immediately above the junction. The columnar epithelium of the lower oesophagus was largely of cardiac type, but a few gastric body type glands were present at the lowermost end. This mixed pattern and the complete lack of inflammation or fibrosis beneath the columnar epithelium favours a congenital rather than metaplastic origin. A high squamo-columnar junction is of clinical significance only in the presence of reflux when oesophagitis and stricture develop at an unusually high level.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=472127Documentos Relacionados
- Adenocarcinoma in the columnar epithelial lined lower (Barrett) oesophagus
- The Treatment of Fibrous Stricture of the Oesophagus Associated with Hiatal Hernia
- Carcinoma of the cardia and thoracic oesophagus coexisting with and following sliding hiatal hernia and peptic stricture.
- Lower Oesophagus Lined with Intestinal and Gastric Epithelia
- Hiatal Hernia and Short Oesophagus in Children