J Gastroenterol Hepatol Endosc | Volume 4, Issue 2 | Case Report | Open Access
Anido Escobar V1*, Brizuela Quintanilla R1, Garcia-Menocal JL1, Piñol Jimenez F1, Armenteros Torres M4, Infante Velázquez M2 and Betancourt Navarro A6
1National Center for Minimally Invasive Surgery, Cuba
2Institute of Gastroenterology, Cuba
*Correspondance to: Anido Escobar V
Fulltext PDFIntroduction: Barrett's Esophagus (EB) is the most relevant premalignant condition for the development of esophageal adenocarcinoma and the presence of dysplasia is a marker of progression.
Objectives: To identify the difference in endoscopic findings in a group of patients with BE and dysplasia in its different degrees. Material and
Method: An observational, descriptive, cross-sectional study with 86 patients with a diagnosis of BE treated at the National Center of Minimally Invasive Surgery, between January 2014 and January 2016. There was a comparison between the presence of esophagitis and its grade, hiatal hernia and the length of the segment affected, according to the presence or absence of dysplasia, which was determined by applying a study protocol.
Results: We included 52 male patients (60.5%) and 34 female patients (39.5%), the average age was 49.07 ± 15.5 years. 49 cases had no dysplasia (57%), there was high-grade dysplasia in five cases (5.8%) and low-grade dysplasia in 32 (37.2%). There was a predominance of patients without esophagitis (39.5%) or grade A erosive esophagitis (33.7%), and of these, 16.2% had low grade dysplasia. Barrett's esophagus of short segment was found in 69.7%; 56.9% of the patients had hiatal hernia, 17.4% had low grade dysplasia.
Conclusion: Mild erosive esophagitis and hiatal hernia were related to the presence of dysplasia, especially low grade, after the application of a study protocol during endoscopy.
Barrett&39;s esophagus; Dysplasia; Endoscopic diagnosis
Anido Escobar V, Brizuela Quintanilla R, Garcia-Menocal JL, Piñol Jimenez F, Armenteros Torres M, Infante elázquez M, et al. Endoscopic Changes in Patients with Barrett’s Esophagus and Dysplasia. J Gastroenterol Hepatol Endosc. 2019;4(2):1057.