摘要
三軍總醫院在近10年20，530次上腸胃道纖維內視鏡檢查中，發現14例經組織學證實的食道息肉。這些食道息肉可分為鱗狀上皮(squamous epithelium)發炎息肉8例，Barrett氏上皮發炎息肉2例，Barrett氏上皮增生(hyperplasia)息肉3例，乳頭狀瘤(papilloma)1例。男女恰好各半，平均年齡為51.1歲。常見臨床症狀有上腹疼痛64.2%，上腸胃道出血28.6%等。這些息肉位於食道上段，中段者各為21.4%，下段57.2%。同時合併其他各種上腸胃道病灶如胃炎，十二指腸潰瘍，胃潰瘍等痰並不罕見。9例曾行上腸胃道放射線檢查，其正確率僅22.2%。可知食道息肉的確罕見，常為上腸胃道內視鏡檢之意外發現。
並列摘要
Fourteen cases with esophageal polyp were identified during the 10-year period 1975-1984 among 20,530 upper gastrointestinal (UGI) endoscopies. Histologically, there were squamous inflammatory polyp, 8; Barrett's epithelium with inflammation, 2; Barrett's epithelium with hyperplasia, 3 and papilloma, 1. The most common presenting symptoms were epigastric pain, 64.2% and UGI bleeding, 28.6%. More than half of those polyps located at lower thirds of esophagus, the remainders equally located at upper and middle thirds of esophagus. Associated UGI lesions such as gastritis, peptic ulcer, etc. were not uncommon. The diagnostic rate of 9 UGI roentgenographies was only 22.2%. It is concluded that esophageal polyps are very rare, they may be an incidental finding when doing the UGI endoscopy.
延伸閱讀
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