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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1996-9-11
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pubmed:abstractText |
Chronic, severe reflux esophagitis can be complicated with an esophageal ulcer (EU), whose histomorphological characteristics change sensibly. Between 1983 and 1989, 18 EU were endoscopically identified in 13 (6%) out of 217 patients with chronic gastroesophageal reflux (GER). 2 groups were defined: EU and esophagitis, without columnar-lined esophagus and EU with localized columnar metaplasia or Barrett's esophagus. In the first, 4 Wolf's ulcers (WU) were present; in the second, there were 8 Barrett's ulcers (BU), 2 Savary's ulcers (SU) and 4 ulcers with intermediary characteristics (IU). The 24 h esophageal Ph monitoring demonstrated the reflux pathogenesis in all the patients (57%: alkaline reflux). The histomorphological findings of the EU could support the hypotesis that their variety is related to the different stage of the reflux disease. The EU, started as a peptic lesion on a stratified squamous mucosa (WU), due to an acid, alkaline or mixed reflux, would macroscopically turn into a BU, through intermediary entities (SU, IU), with a progressive extension of columnar metaplasia to the adjacent epithelium and walls. It's not possible to exclude the primitive development of the BU in a Barrett's mucosa, because of an alkaline reflux or because of a low mucosa's resistance (specialized columnar epithelium) to a prolonged acid exposure.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0003-469X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
66
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
831-7; discussion 838
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8712599-Adult,
pubmed-meshheading:8712599-Aged,
pubmed-meshheading:8712599-Esophageal Diseases,
pubmed-meshheading:8712599-Esophagoscopy,
pubmed-meshheading:8712599-Female,
pubmed-meshheading:8712599-Gastroesophageal Reflux,
pubmed-meshheading:8712599-Humans,
pubmed-meshheading:8712599-Male,
pubmed-meshheading:8712599-Middle Aged,
pubmed-meshheading:8712599-Ulcer
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pubmed:articleTitle |
[Endoscopic & histopathologic features of esophageal ulcers. Considerations in 13 cases].
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pubmed:affiliation |
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Trieste.
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pubmed:publicationType |
Journal Article,
English Abstract
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