[Endoscopic diagnosis and complex treatment of Barrett's esophagus complicated by hernia of esophageal foramen of the diaphragm].
A protocol is suggested of complex diagnosis and treatment of Barrett's esophagus using sparing endoscopic removal of Barrett's epithelium in combination with surgery and medicinal antireflux therapy. Eighty-three patients were diagnosed and treated for hernia of esophageal foramen of the diaphragm and gastro-esophageal reflux complicated by Barrett's esophagus. Ninety-two percent of patients receiving our four-component treatment were cured; no recurrent esophageal adenocarcinoma was reported during the 56.7 +/- 2.4 month follow-up. Conversely, in patients receiving three-component treatment, efficacy was 56%; esophageal adenocarcinoma was reported in 3 (12%).
Burmistrov
M V
MV
Ivanov
A I
AI
Petrov
S V
SV
Akhmetov
T R
TR
Sigal
E I
EI
Murav'ev
V Iu
VIu
Moroshek
A A
AA
Broder
I A
IA
D000230:Adenocarcinoma / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D001471:Barrett Esophagus / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D003964:Diaphragm; D004935:Esophageal Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D004938:Esophageal Neoplasms / Q000209:etiology; D004945:Esophagoscopy; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006547:Hernia / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011230:Precancerous Conditions / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult