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IMPORTANCE OF METAPLASTIC SUBTYPES AND SQUAMO-COLUMNAR CROSS-TALK IN THE AETIOPATHOGENESIS OF INFLAMMATORY AND MALIGNANT COMPLICATIONS IN BARRETT'S OESOPHAGUS (BE).(Abstract)

Gut

| March 01, 2001 | Abdalla, S.A.; Fitzgerald, R.C.; Onwuegbusi, B.A.; Farthing, M.J.G. | COPYRIGHT 2003 British Medical Association. (Hide copyright information)Copyright

Dept of Gastroenterology, St Barts & the London Hospital, Turner Street, London, UK

We have previously demonstrated an inflammatory gradient in long segments of BE. Acute inflammation occurs proximally with oesophagitis at the neo squamo-columnar junction, whereas anti-inflammatory cytokines predominate distally. We investigated whether the proximal-distal differences occur due to the metaplastic subtypes or the interaction between the squamous and columnar cell types.

Methods: Mucin histochemical staining was performed to identify areas of gastric compared with specialized intestinal metaplasia (SIM types I, II, III), (multiple samples from n=35 patients) …

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