A Case of Barrett's Esophagus Complicated with a Stricture and an Ulcer of the Upper Thoracic Esophagus

Toshio Uematsu¹⁾, Hiroshi Kitamura, Masanori Iwase, Hajime Oguri, Yuji Nimura²⁾

¹⁾Department of Surgery, Iwata Municipal General Hospital
²⁾First Department of Surgery, Nagoya University School of Medicine

A typical case of Barrett's esophagus complicated with a stricture and an ulcer of the upper thoracic esophagus is reported. The patient was a 58-year-old female with complaints of dysphasia and easy fatigability due to anemia: low hemoglobin concentration (2.7 mg/dl) on blood examination. Esophagography showed an annular stricture of the esophagus at the level of the aortic arch and sliding hiatal hernia. Esophagoscopy demonstrated an annular stricture and an ulcer at the level of 23 cm from the incisors. Biopsy specimens taken from the esophagus distal to the stricutre revealed columnar epithelium. Nissen fundoplication and dilatation of the stricutre were performed. The postoperative course was excellent and no complaints have developed. During the follow-up period of 7 years, no esophageal ulcer or stricutre has occurred; moreover neither aggression nor regression of Barrett's esophagus has been observed. Since Barrett's esophagus is considered a pre-cancerous lesion of adenocarcinoma of the esophagus, it should be carefully followed up even after a successful antireflux operation.

Key words
Barrett's esophagus, esophageal stricture, antireflux operation

Reprint requests
Toshio Uematsu First Department of Surgery, Nagoya University School of Medicine
65 Tsurumai-cho, Showa-ku, Nagoya, 466 JAPAN

Accepted
May 8, 1991

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