[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
April 1977

Barrett Esophagus

Author Affiliations

From the Department of Surgery, Indiana University Medical Center, Wishard Memorial Hospital, Indianapolis.

Arch Surg. 1977;112(4):486-491. doi:10.1001/archsurg.1977.01370040138021
Abstract

• Barrett esophagus is the term describing the presence of an abnormal columnar epithelium in a portion of the esophagus. We have treated 19 patients within the past three years, representing almost 20% of all our esophageal experience. This one pathologic entity has presented as several different clinical pictures: benign stricture, peptic ulceration of the esophagus, intractable esophagitis, and malignancy. One half the patients were under 50 years old, and most were male. The benign lesions have responded well to surgical therapy. There has been an unusually high incidence of malignancy—26.3%. The reasons for the infrequent diagnosis of Barrett esophagus are confusion with "short esophagus" and failure to biopsy the proper site.

(Arch Surg 112:486-491, 1977)

References
1.
Barrett NR:  Chronic peptic ulcer of the oesophagus and oesophagitis . Br J Surg 38:175-182, 1950.Article
2.
Allison PR, Johnstone AS:  The oesophagus lined with gastric mucous membrane . Thorax 8:87-101, 1953.Article
3.
Adler RH:  The lower esophagus lined by columnar epithelium . J Thorac Cardiovasc Surg 45:13-34, 1963.
4.
Bremner CG, Lynch VP, Ellis FH Jr:  Barrett's esophagus: Congenital or acquired? An experimental study of esophageal mucosal regeneration in the dog . Surgery 68:209-216, 1970.
5.
Burgess JN, Payne WS, Anderson HA, et al:  Barrett esophagus: The columnar-epithelial-lined lower esophagus . Mayo Clin Proc 46:728-734, 1971.
6.
Naef AP, Savary M, Ozzello L:  Columnar-lined lower esophagus: An acquired lesion with malignant predisposition . J Thorac Cardiovasc Surg 70:826-833, 1975.
7.
Hawe A, Payne WS, Weiland LH, et al:  Adenocarcinoma in the columnar epithelial lined lower (Barrett) oesophagus . Thorax 28:511-514, 1973.Article
8.
Shafer RB:  Adenocarcinoma in Barrett's columnar-lined esophagus . Arch Surg 103:411-413, 1971.Article
9.
Stemmer EA, Adams WE:  The incidence of carcinoma at the esophagogastric junction in short esophagus . Arch Surg 81:771-780, 1960.Article
10.
 Clinical Staging System for Carcinoma of the Esophagus. American Cancer Society . Cancer J Clin 25:50, 1975.Article
×