Barrett's epithelium complicating lye ingestion with sparing of the distal esophagus

Stuart Jon Spechler, Elihu M. Schimmel, John W. Dalton, Wilhelm Doos, Jerry S. Trier

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

We report a patient with a history of lye ingestion in whom a band of ectopic gastric mucosa is associated with a stricture of the mid-esophagus. Specialized columnar epithelium (a type of Barrett's epithelium) developed along the edges of this band. This specialized columnar epithelium is separated from the mucosa of the stomach by a continuous sheet of normal stratified squamous epithelium. Heretofore, Barrett's epithelium involving the middle esophagus has been reported only as the proximal extension of a sheet of columnar mucosa lining the entire distal esophagus. The development of specialized columnar epithelium in this setting suggests that local factors besides gastroesophageal reflux may be involved in the pathogenesis of Barrett's epithelium.

Original languageEnglish (US)
Pages (from-to)580-583
Number of pages4
JournalGastroenterology
Volume81
Issue number3
DOIs
StatePublished - Sep 1981

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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