Histological changes in the oesophageal squamous mucosa: correlation with ambulatory 24 hour pH monitoring.

Abstract:

AIMS:To determine the value of squamous mucosal histology in the assessment of patients with gastro-oesophageal reflux symptoms. METHODS:Sixty six patients with reflux symptoms underwent endoscopy with oesophageal biopsy, manometry, and 24 hour oesophageal pH testing. The following histological features were assessed in squamous mucosa: the degree of basal cell hyperplasia, the degree of papillary zone elongation, and the density of neutrophil and eosinophil infiltration. Comparisons were made between the histological findings and the oesophageal function tests. RESULTS:The correlation between the traditionally accepted histological markers of gastro-oesophageal reflux disease in squamous mucosa and 24 hour pH testing was predominantly negative, with the exception of neutrophil inflammation in the squamous mucosa of patients with complicated reflux disease. CONCLUSIONS:This study was unable to confirm the value of the Ismail-Beigi criteria as histological markers of acid reflux. By inference, biopsy of the oesophageal squamous mucosa is of limited value in the assessment of patients with reflux symptoms.

journal_name

J Clin Pathol

authors

Bowrey DJ,Williams GT,Clark GW

doi

10.1136/jcp.56.3.205

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

205-8

issue

3

eissn

0021-9746

issn

1472-4146

journal_volume

56

pub_type

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