NDLI: Comparison of intestinal metaplasia in gastric cardia and Barrett's esophagus.

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Comparison of intestinal metaplasia in gastric cardia and Barrett's esophagus.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Miao, Qi Peng, Yan Shen Cai, Gan Hui Chen, Xiao Yu
Description	Country affiliation: China Author Affiliation: Miao Q ( Department of Gastroenterology, Renji Hospital, Shanghai Jiaotong University School of Medicine Division of Gastrointestinal Pathology, Shanghai Institute of Digestive Disease Shanghai, China.)
Abstract	OBJECTIVE: To evaluate and compare the pathological features and immunostaining pattern (cytokeratin 7 (CK-7), mucin core peptide 1 (Muc-1)) in Barrett's esophagus (BE) and cardiac intestinal metaplasia (CIM). METHODS: According to endoscopic diagnosis, patients with gastric cardiac inflammation and BE were selected from March 2008 to February 2009 in Renji Hospital, Shanghai Jiaotong University School of Medicine. Those patients who had histological findings of intestinal metaplasia (82 cases of CIM and 64 special type BE) were enrolled in our study. Hematoxylin-eosin, periodic acid-Schiff and Alcian blue staining and an immunohistochemical examination (CK-7, Muc-1) were undertaken in all of them. RESULTS: Squamous mucosa overlying the columnar crypts with intestinal metaplasia, also called buried metaplasia, was often found in the BE group (56.2%), mainly as an incomplete type (85.9%). Inflammation in the gastric antrum was more severe in the CIM group (45.1% vs 26.6%), in contrast, esophagitis was more severe in the BE group (53.1% vs 35.4%). CK-7 was highly expressed in the BE group (84.4%) in contrast to the CIM group (37.8%). There was no difference in the expression of Muc-1 in these two kinds of intestinal metaplasia (14.1% vs 19.5%). CONCLUSIONS: Buried intestinal metaplasia, mainly as an incomplete type, is the major predominant type of BE. The degree of inflammation in the gastric antrum and esophagus can differentiate BE from CIM to some extent. CK-7 immunohistochemical staining can help identify BE and CIM but Muc-1 cannot.
File Format	HTM / HTML
ISSN	17512972
Issue Number	4
Volume Number	12
e-ISSN	17512980
Journal	Journal of Digestive Diseases
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-08-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Gastroenterology Barrett Esophagus Pathology Cardia Gastric Mucosa Stomach Diseases Adult Aged Metabolism Esophagus Female Humans Keratin-7 Male Metaplasia Middle Aged Mucin-1 Pyloric Antrum Retrospective Studies Comparative Study Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Gastroenterology

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