Endobrachyesophagus, ma ọ bụ Barrett's esophagus, bụ ihe na-adịghị mma anatomical na-emetụta esophagus dị ala nke mkpụrụ ndụ ndị dị na mkpuchi na-eji nwayọọ nwayọọ ghọọ sel eriri afọ. A na-akpọ mgbanwe a metaplasia. Ka ọ dị ugbu a, ihe na-akpatakarị bụ ọrịa reflux gastroesophageal. Ọ bụrụ na nchoputa ahụ ga-adị ngwa ngwa iji zere mgbasa nke metaplasia na esophagus, endobrachyesophagus ga-adaba na ọrịa kansa na 0,33% nke ikpe.

Nkọwa nke endobrachyesophagus

Endobrachyesophagus (EBO), ma ọ bụ Barrett's esophagus, bụ ihe na-adịghị mma anatomical na-emetụta esophagus dị ala nke mkpụrụ ndụ ndị dị na mkpuchi na-eji nwayọọ nwayọọ ghọọ sel eriri afọ. Mgbanwe cellular a na-akpọ metaplasia.

Ụdị d'endobrachyœsophages

Enwere naanị otu ụdị endobrachyesophagus.

Ihe na-akpata endobrachyesophagus

Ka ọ dị ugbu a, ihe na-akpatakarị bụ ọrịa reflux gastroesophageal. Mgbe ha na-adịghị ala ala, ha nwere ike imebi eriri esophageal ma mee ka mbufụt na-eduga na metaplasia.

Ma ihe ndị ọzọ nwere ike ịbụ na mmalite nke endobrachyesophagus:

• Ihe nzuzo nke bile;
• Enterogastric reflux.

Nchọpụta nke endobrachyesophagus

Nchọpụta nke esophagus Barrett gụnyere usoro abụọ:

• A gastroscopy na-enye ohere iji anya nke uche ya na-eji tube na-agbanwe agbanwe nwere igwefoto n'ime mgbidi nke afọ, esophagus na duodenum. A na-enyo enyo maka esophagus Barrett mgbe a na-ahụ ihe nrịbama mucosal dị ka ire, nke na-acha ọbara ọbara karịa 1 cm n'ogo na nke yiri mucosa gastric na esophagus. Ihe endoscopy a na-agụnyekwa nleba anya nke elu ọnya ndị a na-enyo enyo na metaplasia;
• A biopsy iji gosi ọnụnọ metaplasia.

Ọnya peptic (ọnya na mkpuchi) nke esophagus ma ọ bụ stenosis esophageal (mbelata nke esophagus) bụ ihe mgbaàmà ụlọ ọgwụ na-eme ka nchọpụta ahụ sie ike.

N'oge na-adịbeghị anya, otu ndị nchọpụta America emepụtawokwa ule dị mfe nke nwere ike ilo iji mee ka nchọpụta mmalite nke Barrett's esophagus, nke nwere ike bụrụ ihe ọzọ na endoscopy.

Ndị mmadụ na-arịa ọrịa endobrachyesophagus

Endobrachyesophagus na-apụtakarị mgbe afọ iri ise gachara, ọ dịkwa ihe dị ka okpukpu abụọ karịa nke ụmụ nwoke. 50-10% nke ndị ọrịa nwere ọrịa reflux gastroesophageal ga-emepe esophagus Barrett n'oge na-adịghị anya.

Ihe ndị na-akwalite endobrachyesophagus

Ihe dị iche iche nwere ike ịkwalite ọnọdụ endobrachyesophagus:

• Afọ na oke ise siga;
• Mmekọahụ nwoke;
• Afọ karịrị afọ 50;
• Ọnụ ọgụgụ dị elu nke anụ ahụ (BMI);
• Ọnụnọ nke abụba intra-abdominal na-abawanye;
• Ọnụnọ nke hernia hiatus (nfefe akụkụ nke afọ site na afọ ruo na thorax site na oghere hiatus nke diaphragm, oghere nke esophagus na-agafekarị).

Acid ebuli

Endobrachyesophagus na-adịkarị asymptomatic mgbe ọ malitere ịmalite. Ihe mgbaàmà ya na-ejikọta na nke gastroesophageal reflux: reflux acid, nrekasi obi.

ibu Loss

Ka ọ na-aga n'ihu, endobrachyesophagus nwere ike ịkpata ihe isi ike ilo, ọgbụgbọ, vomiting, enweghị agụụ, na mbelata ibu.

ọbara ọgbụgba

Mgbe ụfọdụ, endobrachyesophagus nwere ike ịkpata ọbara ọgbụgba ma bute anaemia.

Nwa stool

A na-eme ọgwụgwọ maka esophagus nke Barrett iji belata mgbaàmà yana igbochi reflux acid iji gbochie ọrịa ahụ ịgbasa n'akụkụ buru ibu nke eriri esophageal. Ha na-ejikọta oriri kwa ụbọchị nke ọgwụ antisecretory - proton pump inhibitors na H-2 receptor inhibitors - na ọgwụ ndị na-eme ka motility eriri afọ (prokinetics) dịkwuo mma.

Ọ na-esiri ike ịkọ ma onye ọrịa nwere esophagus Barrett ga-ebute ọrịa cancer esophageal ma ọ bụ na ọ bụghị, ya mere a na-atụ aro gastroscopy na-esote ma ọ dịkarịa ala kwa afọ atọ ruo ise. Rịba ama na ihe omume nke carcinomatous degeneration nke Barrett's esophagus kwa afọ bụ 0,33%.

Mgbochi nke endobrachyesophagus mejupụtara karịa ihe niile na-ezere ma ọ bụ na-amachi gastroesophageal reflux:

• Ibelata ihe oriri na ihe ọṅụṅụ ndị a maara iji kwalite reflux: chocolate, mint siri ike, yabasị raw, tomato, caffeine, theine, raw vegetables, efere na ihendori, mkpụrụ osisi citrus, nkwadebe bara ụba na abụba na mmanya;
• Anaghị ese anwụrụ ;
• Rie nri ihe na-erughị awa atọ tupu ịlakpu ụra;
• Welie bọọdụ isi site na centimita iri abụọ ka ịzenarị mgbagharị acid nke abalị.