The metaplastic mosaic of Barrett’s oesophagus

Sujata Biswas, Michael Quante, Simon Leedham, Marnix Jansen

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Barrett’s oesophagus surveillance biopsies represent a significant share of the daily workload for a busy histopathology department. Given the emphasis on endoscopic detection and dysplasia grading, it is easy to forget that the benefits of these screening programs remain unproven. The majority of patients are at low risk of progression to oesophageal adenocarcinoma, and periodic surveillance of these patients is burdensome and costly. Here, we investigate the parallels in the development of Barrett’s oesophagus and other scenarios of wound healing in the intestine. There is now increased recognition of the full range of glandular phenotypes that can be found in patients’ surveillance biopsies, and emerging evidence suggests parallel pathways to oesophageal adenocarcinoma. Greater understanding of the conditions that favour progression to cancer in the distal oesophagus will allow us to focus resources on patients at increased risk.

Original languageEnglish
Pages (from-to)43-54
Number of pages12
JournalVirchows Archiv
Volume472
Issue number1
DOIs
StatePublished - 1 Jan 2018
Externally publishedYes

Keywords

  • Barrett’s oesophagus
  • Inflammation
  • Lineage tracing
  • Metaplasia

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