Résumé
Les auteurs rapportent deux cas d'adénocarcinome œsophagien développé sur un épithélium de Barrett avec hernie hiatale. Ils discutent le résultat de la confrontation entre les données de l'endoscopie, des biopsies étagées multiples, et de l'examen de la pièce opératoire. Cette analyse conduit à adopter une attitude prospective en présence d'un endobrachyœsophage ou de lésions de métaplasie gastrique au niveau de l'œsophage.
Summary
Esophageal adenocarcinoma arising in a Barrett's epithelium were found in two cases of hiatal hernia complicated with peptic esophagitis. Data of endoscopy, multiple biopsies and surgical specimens dissection are discussed. The authors propose a prospective periodic screening of patients with columnar lined epithelium for early diagnosis of dysplastic changes and adenocarcinoma.
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Bibliographie
ADLER R.H., RODRIGUEZ J. — The association of hiatus hernia and gastrocsophageal malignancy.J. Thorac. Surg., 1959,37, 553–569.
ADLER R.H. — The lower esophagus lined by columiner epithelium: its association with hiatal hernia, ulcer, stricture and tumor.J. Thorac. Cardiovasc. Surg., 1963,45, 13–34.
ARMSTRONG R.A., BLALOCK J.B., CARRERA G.M. — Adenocarcinoma of the middle third of the esophagus arising from cetopic gastric mucosa.J. Thorac. Surg., 1959,37, 398–403.
BARRETT N.R. — Chronic peptic ulcer of the esophagus and oesophagitis.Brit. J. Surg., 1950,38, 175–182.
BARRETT N.R. — The lower esophagus lined by columiner epithelium.Surgery, 1957,41, 881–895.
BELLADONNA J.A., HAJDU S.I., BAINS M.S., WINAWER S.J. — Adenocarcinoma of Barrett's esophagus diagnosed by endoscopic cytology.New Engl. J. Med., 1974,291, 895–896.
DAWSON J.L. — Adenocarcinoma of the middle oesophagus arising in an oesophagus lined by gastric (parietal) epitheliumBrit. J. Surg., 1964,51, 940–942.
DUPAS J.L., CAPRON J.P., LORRIAUX A. — Endoscopic diagnosis of early primary adenocarcinoma in Barrett's columinar-lined esophagus.Endoscopy, 1975,7, 98–101.
HAWE A., PAYNE W.S., WEILAND L.H., FONTANA R.S. — Adenocarcinoma in the voluminar epithelial lined lower (Barrett) esophagus.Thorax, 1973,28, 511–514.
JERNSTROM P., BREWER L.A. III. — Primary adenocarcinoma of the mid-esophagus arising in ectopic gastric mucosa with associated hiatal hernia and reflux esophagitis (Dawson's syndrome).Cancer, 1970,26, 1343–1348.
McDONALD G.B., BRAND D.L., THORNING D.R. — Multiple adematous neoplasms arising in columinar-lined (Barrett's) esophagus.Gastroenterology, 1977,72, 1317–1321.
NAEF A.P., SAVARY M., OZZELLO L. — Columinar-lined lower esophagus: an acquired lesion with malignant predisposition.J. Thorac. Cardiovasc. Surg., 1975,70, 826–835.
PAULL A.P., TRIER J.S., DALTON M.D.et al. — The histologic spectrum of Barrett's esophagus.N. Engl. J. Med., 1976,295, 476–480.
RIBET M., MORTIER F. — La dégénérescence des œsophagites peptiques.J. Chir., 1972,103, 341–352.
SAVARY M.et al. — Problèmes de carcinogenèse sur le bas œsophage.Acta Endoscopica et Radiocinematographica, 1977,3, 217–230.
SHAFER R.B. — Adenocarcinoma in Barrett's columinar-lined esophagus.Arch. Surg., 1971,103, 411–413.
STILLMAN A.E., SELWYN J.I. — Primary adenocarcinoma of the esophagus arising in a columinar-lined esophagus.Am. J. Dig. Dis., 1975,20, 577–582.
TORRIES S., KOHLI Y., AKASAKA Y., KAWAI K. — News trial for endoscopical observation of esophagus by dye scattering method.Endoscopy, 1975,7, 75–79.
WINAWER S.J., SHERLOCK P., BELLADONNA J.A., MELAMED M., BEATTIE ed. J. — Endoscopic brush cytology in esophageal cancer.JAMA, 1975,232 1358.
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Mainguet, P., Buysschaert, M., Pringot, J. et al. L'adénocarcinome de l'œsophage développé dans un épithélium de Barrett Étude endoscopique de deux observations. Acta Endosc 7, 375–383 (1977). https://doi.org/10.1007/BF02970365
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DOI: https://doi.org/10.1007/BF02970365