Esófago de Barrett. Neoplasias esofágicas

  1. Monteserín Ron, L. 1
  2. Domínguez Muñoz, J.E. 1
  1. 1 Servicio Aparato Digestivo, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2020

Título del ejemplar: Enfermedades del aparato digestivo (VII)Enfermedades del esófago

Serie: 13

Número: 7

Páginas: 392-400

Tipo: Artículo

DOI: 10.1016/J.MED.2020.05.004 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

El esófago de Barrett representa la principal complicación de la enfermedad por reflujo gastroesofágico. Se trata de una condición adquirida, en la que se produce un reemplazo del epitelio escamoso esofágico distal presente en condiciones normales por un epitelio cilíndrico con presencia de metaplasia intestinal. Su importancia radica en su potencial para degenerar a adenocarcinoma esofágico, por lo que estos pacientes deben estar sujetos a un seguimiento endoscópico para la detección precoz de displasia o adenocarcinoma. El adenocarcinoma y el carcinoma epidermoide son las dos neoplasias esofágicas malignas más frecuentes, ambas asociadas al hábito tabáquico. El cáncer de esófago es el séptimo tumor más frecuente a nivel mundial, con una elevada tasa de mortalidad, ya que suele cursar asintomático en fases iniciales. Una correcta estadificación nos indicará el tratamiento más adecuado en cada caso.

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