内镜下粘膜剥离治疗食管表皮样化生。

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI:10.14309/crj.0000000000001698

Karam Al-Bayati, Gerard Coneys, Michael Cantor, Rodica Gheorghe, James K Stone

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引用次数: 0

摘要

食管表皮样化生（EEM）是一种罕见的疾病，其特征是影响食管中远端界限清楚的白斑。EEM常见于伴有吞咽困难和胃食管反流的中年女性。EEM被认为与高度鳞状发育不良和鳞状细胞癌有关。我们报告一例63岁的女性在整体内镜下粘膜下剥离后被诊断为EEM，病变最初报告为鳞状发育不良。患者开始接受PPI治疗，随访6个月，活检显示没有鳞状异常增生区域或复发性EEM，鳞状粘膜正常。随访1年，患者无症状。

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Esophageal Epidermoid Metaplasia Treated With Endoscopic Submucosal Dissection.

Esophageal epidermoid metaplasia (EEM) is a rare condition characterized by well-demarcated leukoplakia affecting the middle-to-distal esophagus. EEM commonly presents in middle-aged females with dysphagia and gastroesophageal reflux. EEM is thought to be associated with high-grade squamous dysplasia and squamous cell carcinoma. We report a case of a 63-year-old woman diagnosed with EEM after en bloc endoscopic submucosal dissection in a lesion initially reported as squamous dysplasia. The patient was initiated on a PPI with a 6-month follow-up showing no areas of squamous dysplasia or recurrent EEM with normal squamous mucosa on biopsy. The patient was symptom-free at 1-year follow-up.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.