Barrett食管诊断和治疗新进展--美国、英国和中国新指南比较

摘要

Barrett食管与食管腺癌和贲门癌的发生有直接的联系，尽管对个体期望寿命值无明显影响，癌变率相对较低，但却给患者的心理和经济造成很大负担。目前关于Barrett食管的诊断和治疗方面仍存在诸多争议，美国、英国胃肠病学会和我国中华医学会消化病学分会分别于近期更新了Barrett食管的诊治指南。本文根据美国、英国和我国的Barrett食管最新指南，介绍Barrett食管诊断和治疗方面的最新进展，比较各指南关于Barrett食管诊治的异同点。%Barrett’s esophagus is associated with esophageal adenocarcinoma and cardia cancer,although it has no significant influence on individual’s expectation of life and the canceration rate is comparatively low. However,Barrett’s esophagus has big burden on the psychology and economy of patients. At present,there are still some debates about the diagnosis and management of Barrett ’s esophagus. American Gastroenterological Association, British Society of Gastroenterology and Chinese Society of Gastroenterology have updated their guidelines on Barrett’s esophagus. In this review,we introduced the updated progress in diagnosis and management of Barrett’s esophagus according to these three new guidelines,and compared the similarities and differences between these guidelines.