Short segment Barrett's esophagus--the need for standardization of the definition and of endoscopic criteria.

Sharma P, Morales TG, Sampliner RE
The American journal of gastroenterology · 1998 · doi:10.1111/j.1572-0241.1998.00324.x · PMID:9672325
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This review examines current data on short segment Barrett's esophagus and intestinal metaplasia of the cardia to address the need for standardized definitions, endoscopic criteria, and a classification system for these entities.

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This review article addresses the lack of consensus regarding the definition and endoscopic criteria for short segment Barrett's esophagus. The authors examine current data to highlight the confusion arising from overlapping terms such as intestinal metaplasia of the esophagogastric junction and cardia. They propose a rationale for distinguishing these entities and suggest a simplified classification system to standardize diagnosis. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

There has been a recent increase in abstracts and publications reporting intestinal metaplasia in the distal esophagus and cardia. The terms "short segment Barrett's esophagus," "intestinal metaplasia of the esophagogastric junction," and "intestinal metaplasia of the cardia" are being used to describe either similar or different entities. This review article deals with the current data on these issues, the definition of short segment Barrett's esophagus including the endoscopic and histologic criteria, the rationale for separating short segment Barrett's esophagus from intestinal metaplasia of the cardia, and a simple classification of intestinal metaplasia.
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Clinical Reviews: PDF Only Short Segment Barrett's Esophagus—The Need for Standardization of the Definition and of Endoscopic Criteria - Prateek Sharma - ThomasG Morales - RichardE Sampliner American Journal of Gastroenterology 93(7):p 1033-1036, July 1998. | DOI: 10.1111/j.1572-0241.1998.00324.x There has been a recent increase in abstracts and publications reporting intestinal metaplasia in the distal esophagus and cardia. The terms “short segment Barrett's esophagus,”“intestinal metaplasia of the esophagogastric junction,” and “intestinal metaplasia of the cardia” are being used to describe either similar or different entities. This review article deals with the current data on these issues, the definition of short segment Barrett's esophagus including the endoscopic and histologic criteria, the rationale for separating short segment Barrett's esophagus from intestinal metaplasia of the cardia, and a simple classification of intestinal metaplasia. Copyright © The American College of Gastroenterology 1998. All Rights Reserved.

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