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Barrettīs Oesophagus
High resolution image: Barrettīs oesophagus
Barrettīs Oesophagus
In a complicated reflux oesophagitis the epithelium of the stomach sometimes "goes up" into the oesophagus. In this picture one can see the change between oesophageal epithelium and epithelium of the same type as in the stomach, in the middle of the oesophagus.This lesion, the Barrettīs oesophagus, is associated with a significant risk of malignant change and an oesophagus with this disease should be examined about every two years.
Barrettīs Oesophagus
Here are another pictures of the transition zone between oesophageal and gastric mucosa in the middle of the oesophagus.
"Gastric ulcer" in a Barretīs Oesophagus
Sometimes the Barrettīs epithelium ulcerates, and an ulcer like this should be thoroughly biopsied because of the risk for malignant changes.
Barrett's Oesophagus
Still another picture of Barrett's oesophagus. After treatment with omeprazole, one sometimes can find small islands of oesophageal epithelium in the Barrett's epithelium, probably indicating, that medical treatment for years perhaps can partly cure this disease.
Barrett's Oesophagus with Islands of Normal Oesophageal Mucosa
After long term treatment with omeprazole, small islands of normal oesophageal mucosa appears in the Barrettīs oesophagus. Perhaps a very long treatment (for 10 years or more) can restore most of the changed mucosa?
High resolution image: Inside a Barrettīs oesophagus. The identification of this disease can be difficult if the border zone between normal oesophageal and Barrettīs mucosa is not seen.
Here are some books about this topic if You need more information:
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