ʻO ka Endobrachyesophagus, a i ʻole Barrett's esophagus, he ʻano ʻano anatomical e pili ana i ka esophagus haʻahaʻa kahi e hoʻololi mālie ʻia ai nā cell i loko o ka uhi i nā ʻōpū ʻōpū. Kapa ʻia kēia hoʻololi ʻana he metaplasia. ʻO ke kumu maʻamau ka maʻi gastroesophageal reflux. Inā pono e wikiwiki ka hōʻailona i mea e pale ai i ka laha ʻana o ka metaplasia i loko o ka esophagus, e hoʻohaʻahaʻa wale ka endobrachyesophagus i ka maʻi kanesa ma 0,33% o nā hihia.

Ka wehewehe ʻana o ka endobrachyesophagus

ʻO Endobrachyesophagus (EBO), a i ʻole Barrett's esophagus, he ʻano ʻano anatomical e pili ana i ka esophagus haʻahaʻa kahi e hoʻololi mālie ʻia ai nā cell i loko o ka uhi i nā ʻōpū ʻōpū. Kapa ʻia kēia hoʻololi cellular metaplasia.

Nā ʻano d'endobrachyœsophages

Hoʻokahi wale nō ʻano o ka endobrachyesophagus.

ʻO nā kumu o ka endobrachyesophagus

ʻO ke kumu maʻamau ka maʻi gastroesophageal reflux. Ke hoʻomau ʻia lākou, hiki iā lākou ke hōʻino i ka lining esophageal a hoʻoulu i ka mumū e alakaʻi ai i ka metaplasia.

Akā ʻo nā kumu ʻē aʻe ma ke kumu o ka endobrachyesophagus:

• ʻO nā mea huna bile;
• ʻO Enterogastric reflux.

ʻO ka hōʻailona o ka endobrachyesophagus

ʻO ka hōʻailona o ka esophagus o Barrett e pili ana iʻelua mauʻanuʻu:

• ʻO kahi gastroscopy e ʻae ana e ʻike i ka hoʻohana ʻana i kahi paipu maʻalahi i hoʻolako ʻia me ke kāmela i ka paia o loko o ka ʻōpū, ka esophagus a me ka duodenum. Hoʻopiʻi ʻia ka esophagus o Barrett ke ʻike ʻia nā ʻano ʻōlelo alelo, ʻulaʻula ʻulaʻula ʻoi aku ka nui ma mua o 1 knm ka nui a me ke ʻano like o ka mucosa ʻōpū ma ka esophagus. Aia pū kēia endoscopy i kahi ana o ke kiʻekiʻe o nā ʻeha i manaʻo ʻia he metaplasia;
• ʻO kahi biopsy e hōʻoia i ka hiki ʻana o ka metaplasia.

ʻO kahi maʻi maʻi peptic (lesion ma ka lining) o ka esophagus a i ʻole esophageal stenosis (narrowing o ka esophagus) he mau hōʻailona lapaʻau e hoʻoikaika i ka ʻike.

I kēia mau lā, ua hoʻomohala kekahi hui o nā mea noiʻi ʻAmelika i kahi hoʻāʻo maʻalahi i hiki ke ale ʻia i mea e ʻae ai i ka ʻike mua ʻana o ka esophagus o Barrett, hiki ke lilo i mea ʻokoʻa i ka endoscopy.

ʻO nā kānaka i hoʻopilikia ʻia e ka endobrachyesophagus

Loaʻa pinepine ʻia ka Endobrachyesophagus ma hope o ka makahiki 50 a ʻoi aku ka pālua o ka maʻamau i nā kāne ma mua o nā wahine. ʻO 10-15% o nā maʻi me ka maʻi gastroesophageal reflux e hoʻomohala i ka esophagus o Barrett ma hope a ma hope paha.

Nā mea e hoʻoikaika ai i ka endobrachyesophagus

Hiki i nā kumu like ʻole ke hoʻoikaika i ka hanana o ka endobrachyesophagus:

• Ka makahiki a me ka nui o ka puhi paka;
• ʻO ke kāne kāne;
• Makahiki ma kahi o 50;
• He helu helu kino nui (BMI);
• ʻO ka hoʻonui ʻia o ka momona intra-abdominal;
• ʻO ka loaʻa ʻana o kahi hiatus hernia (ka hele ʻana o kahi ʻāpana o ka ʻōpū mai ka ʻōpū a i ka ʻāʻī ma o ka wehe ʻana o ka diaphragm, kahi puka e hele mau ʻia e ka esophagus).

Hapai kaʻakika

He asymptomatic pinepine ka Endobrachyesophagus i ka wā e hoʻomaka ai e ulu. Hoʻohui ʻia kona mau hōʻailona me ka gastroesophageal reflux: acid reflux, heartburn.

Weight Loss

Ke holomua nei, hiki i ka endobrachyesophagus ke hoʻopilikia i ka ʻai ʻana, nausea, luaʻi, pau ka ʻai, a me ke kaumaha.

kaheʻana

I kekahi manawa hiki i ka endobrachyesophagus ke hoʻokahe koko a hoʻoulu i ka anemia.

ʻŌpala ʻeleʻele

ʻO nā lāʻau lapaʻau no Barrett's esophagus ka mea nui i ka hōʻemi ʻana i nā hōʻailona a me ka hoʻopaʻa ʻana i ka reflux acid i mea e pale ai i ka laha ʻana o ka maʻi i kahi ʻāpana nui o ka lining esophageal. Hoʻohui lākou i ka lawe ʻana i kēlā me kēia lā o nā lāʻau antisecretory - nā mea hoʻopiʻi proton pump a me nā mea hoʻopaneʻe H-2 - a me nā lāʻau e hoʻomaikaʻi ai i ka motility gastrointestinal (prokinetics).

He mea paʻakikī loa ka wānana inā loaʻa i ka mea maʻi me ka esophagus ʻo Barrett ka maʻi kanesa esophageal a ʻaʻole paha, no laila e ʻōlelo ʻia kahi gastroscopy ma hope o kēlā me kēia ʻekolu a ʻelima mau makahiki. E hoʻomaopopo he 0,33% ka maʻi makahiki o ka degeneration carcinomatous o ka esophagus o Barrett.

ʻO ka pale ʻana i ka endobrachyesophagus ma luna o nā mea āpau i ka pale ʻana a i ʻole ka palena ʻana i ka gastroesophageal reflux:

• E kaupalena i nā meaʻai a me nā mea inu i ʻike ʻia e hoʻoikaika ai i ka reflux: ke kokoleka, ka mint ikaika, nā aniani maka, ka ʻōmato, ka caffeine, theine, nā mea kanu maka, nā kīʻaha i loko o ka mila, nā hua citrus, nā mea hoʻomākaukau i momona i ka momona a me ka waiʻona;
• Aole puhi ;
• E ʻai i ka ʻai ma lalo o ʻekolu hola ma mua o ka moe;
• E hoʻokiʻekiʻe i ke poʻo i ka iwakālua kenimika e pale aku i ka reflux acid nocturnal.