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Revista del Nacional (Itauguá)

Print version ISSN 2072-8174

Abstract

KASPRZYKSOTOMAYOR1, Johana Graciela; CANTERO CORONEL2, Gilberto Daniel; DIAZ REISSNER3, Clarisse Virginia  and  FERREIRA GAONA3, Marta Inés. Concordance of endoscopic and histological findings in patients with Barrett's esophagus. Rev. Nac. (Itauguá) [online]. 2016, vol.8, n.1, pp.17-23. ISSN 2072-8174.  https://doi.org/10.18004/rdn2016.0008.01.017-023.

Introduction: Barrett's esophagus(BE) is called to the replacement of normal epithelial squamous esophagic epithelium by columnar epithelium in the distalend, confirmed by histological evaluation with the presence of goblet cells indicating the presence of specialized intestinal metaplasia, constituting a trigger for the development of esophageal adenocarcinoma. There is a discrepancy between the endoscopic interpretation and histological findings, due to the similar results between dependent operators. Although the risk of progression to malignancy is low, it should be establishedadecuate criteria for efficient monitoring and low cost.Objetive: To determine the relation between the endoscopic and histological findings in patients with Barrett's esophagus who were attended the esophago gastroduodenos copy in the service ofthe Central Hospital of the Social Security, from 2012 to 2014. Materials and Methods: A descriptive, retrospective, observational cross-sectional study; patients clinical records were reviewed. Results: It was suspected to have BE 1.54% (265 / 17,207) of patients in whom biopsies were taken during upper gastrointestinal endoscopy. There were histologically confirmed in 32.08% (85/265) of cases, dysplasia were found in 16.47% (14/85), bring all of them low-grade dysplasia. Therefore, the total frequency of EB patients was 0.49% (85 / 17,207). Conclusion: There is a low correlation between the endoscopic and histological findings of BE. It is an entity of low frequency in our media. It was not found any case that involves significant risk of malignancy.

Keywords : Barrett's esophagus, Endoscopy, Digestive System, Paraguay.

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