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Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

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Page 1: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: Normal Lower Esophageal and Squamo-

columnar Junction Mucosae

Page 2: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: Normal Squamous Epithelium

Page 3: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: Normal Squamo-columnar Junction

Page 4: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagitis (Inflammation and Reactive Epithelial

Changes of the Esophageal Mucosa) Has Many Causes

Page 5: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Reflux Esophagitis is the Culmination of Gastro-

Esophageal Reflux-Induced Changes in Epithelial Cell

Turnover

Page 6: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: G-E Reflux - Changes in Epithelium and

Vascular Papillae

Page 7: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: G-E Reflux - Defenses Against Reflux-

induced Injury

Page 8: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: G-E Reflux - Symptoms and Endoscopic Findings in Reflux are NOT

Predictive of Biopsy Findings

Page 9: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: G-E Reflux - Heightened Epithelial

Turnover in G-E Reflux is Shown by Increased Epithelial Tritiated Thymidine Labeling

Page 10: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Esophagus: G-E Reflux - Reflux-induced Epithelial

Change Is a Consequence Of Increased Cell Turnover

Page 11: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Acute (Neutrophilic) Inflammation and Erosion In Severe Reflux Esophagitis

Page 12: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Severe Epithelial Reactive Changes with Eosinophils

(EOS) in Gastroesophageal Reflux

Page 13: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Sequelae Of Prolonged G-E Reflux

Page 14: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Barrett’s Esophagus: Development And Anatomic

Relationships

Page 15: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Endoscopic Landmarks In The GEJ Region: Normal Versus Barrett’s (Columnar-lined)

Esophagus With Location Of Lower Esophageal Sphincter

(LES)

Page 16: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Requirements For Diagnosis Of Barrett’s Esophagus

Page 17: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Barrett’s Esophagus: Gross Appearance

Page 18: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Barrett’s Esophagus Should Be Suspected And Confirmed By Biopsy When The Squamo-

columnar Junction Is Displaced Or Highly Irregular

Page 19: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Barrett’s Mucosa (BM) With Submucosal Esophageal

Gland (SMEG) Below Muscularis Mucosae (MM)

Page 20: Esophagus: Normal Lower Esophageal and Squamo- columnar Junction Mucosae

Barrett’s Mucosa: Distinctive (Specialized) Type