Endoscopy 2007; 39(9): 840-842
DOI: 10.1055/s-2007-966653
Guidelines

© Georg Thieme Verlag KG Stuttgart · New York

French Society of Digestive Endoscopy SFED guideline: monitoring of patients with Barrett’s esophagus

J.  Boyer, R.  Laugier, M.  Chemali, J.  P.  Arpurt, C.  Boustière, J.  M.  Canard, P.  A.  Dalbies, G.  Gay, J.  Escourrou, B.  Napoléon, L.  Palazzo, T.  Ponchon, B.  Richard-Mollard, D.  Sautereau, G.  Tucat, B.  Vedrenne
Further Information

Publication History

Publication Date:
17 August 2007 (online)

Definitions

Diagnosis of Barrett’s esophagus, also known as Barrett’s mucosa, is by two means, endoscopic and histologic. Endoscopically, the condition is defined as a columnar epithelium that extends above the gastroesophageal junction (GEJ); histologically, it is defined by the presence of a specialized intestinal metaplasia.

Barrett’s esophagus is classified into three types according to its length:

Long-segment Barrett’s esophagus: when the distance between the GEJ and the squamocolumnar epithelial line (Z-line) is more than 3 cm long. Short-segment Barrett’s esophagus: when the distance between the GEJ and the Z-line is from 5 mm to 3 cm long. It may be circular like a sleeve or segmented into tongue(s). Ultra-short-segment Barrett’s esophagus: when the distance between the GEJ and the Z-line is less than 5 mm long. This entity cannot be diagnosed endoscopically since it cannot be distinguished from the cardial intestinal metaplasia.

References

T. Ponchon

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