Advertisement

Acta Endoscopica

, 7:375 | Cite as

L'adénocarcinome de l'œsophage développé dans un épithélium de Barrett Étude endoscopique de deux observations

  • P. Mainguet
  • M. Buysschaert
  • J. Pringot
  • P. J. Kestens
  • J. Haot
  • Ch. Dive
Article
  • 2 Downloads

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.

Mots-clés

adénocarcinome œsophagien épithélium de Barrett etude endoscopique 

Adenocarcinoma of the esophagus arising in metaplastic (Barrett's) epithelium. Endoscopic study of two cases

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.

Key-words

oesophageal adenocarcinoma columnar-lined epithelium endoscopy study 

Bibliographie

  1. 1.
    ADLER R.H., RODRIGUEZ J. — The association of hiatus hernia and gastrocsophageal malignancy.J. Thorac. Surg., 1959,37, 553–569.PubMedGoogle Scholar
  2. 2.
    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.PubMedGoogle Scholar
  3. 3.
    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.PubMedGoogle Scholar
  4. 4.
    BARRETT N.R. — Chronic peptic ulcer of the esophagus and oesophagitis.Brit. J. Surg., 1950,38, 175–182.PubMedCrossRefGoogle Scholar
  5. 5.
    BARRETT N.R. — The lower esophagus lined by columiner epithelium.Surgery, 1957,41, 881–895.PubMedGoogle Scholar
  6. 6.
    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.PubMedGoogle Scholar
  7. 7.
    DAWSON J.L. — Adenocarcinoma of the middle oesophagus arising in an oesophagus lined by gastric (parietal) epitheliumBrit. J. Surg., 1964,51, 940–942.PubMedCrossRefGoogle Scholar
  8. 8.
    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.Google Scholar
  9. 9.
    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.PubMedGoogle Scholar
  10. 10.
    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.PubMedCrossRefGoogle Scholar
  11. 11.
    McDONALD G.B., BRAND D.L., THORNING D.R. — Multiple adematous neoplasms arising in columinar-lined (Barrett's) esophagus.Gastroenterology, 1977,72, 1317–1321.PubMedGoogle Scholar
  12. 12.
    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.PubMedGoogle Scholar
  13. 13.
    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.PubMedGoogle Scholar
  14. 14.
    RIBET M., MORTIER F. — La dégénérescence des œsophagites peptiques.J. Chir., 1972,103, 341–352.Google Scholar
  15. 15.
    SAVARY M.et al. — Problèmes de carcinogenèse sur le bas œsophage.Acta Endoscopica et Radiocinematographica, 1977,3, 217–230.CrossRefGoogle Scholar
  16. 16.
    SHAFER R.B. — Adenocarcinoma in Barrett's columinar-lined esophagus.Arch. Surg., 1971,103, 411–413.PubMedGoogle Scholar
  17. 17.
    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.PubMedCrossRefGoogle Scholar
  18. 18.
    TORRIES S., KOHLI Y., AKASAKA Y., KAWAI K. — News trial for endoscopical observation of esophagus by dye scattering method.Endoscopy, 1975,7, 75–79.CrossRefGoogle Scholar
  19. 19.
    WINAWER S.J., SHERLOCK P., BELLADONNA J.A., MELAMED M., BEATTIE ed. J. — Endoscopic brush cytology in esophageal cancer.JAMA, 1975,232 1358.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • P. Mainguet
    • 1
    • 2
    • 3
    • 4
    • 5
  • M. Buysschaert
    • 1
    • 2
    • 3
    • 4
    • 5
  • J. Pringot
    • 1
    • 2
    • 3
    • 4
    • 5
  • P. J. Kestens
    • 1
    • 2
    • 3
    • 4
    • 5
  • J. Haot
    • 1
    • 2
    • 3
    • 4
    • 5
  • Ch. Dive
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.Service de gastroentérologie, Cliniques Universitaires Saint-LucUniversité Catholique de LouvainBruxelles(Belgique)
  2. 2.Département de médecine interne: Pr F. Lavenne, Cliniques Universitaires Saint-LucUniversité Catholique de LouvainBruxelles(Belgique)
  3. 3.Service de radiologie: Pr P. Bodart Cliniques Universitaires Saint-LucUniversité Catholique de LouvainBruxelles(Belgique)
  4. 4.Service de chirurgie Cliniques Universitaires Saint-LucUniversité Catholique de LouvainBruxelles(Belgique)
  5. 5.Service d'anatomie pathologie: Pr F. Meerseman Cliniques Universitaires Saint-LucUniversité Catholique de LouvainBruxelles(Belgique)

Personalised recommendations