Barrett's esophagus: Size of the problem and diagnostic value of a novel histopathology classification

European Surgery - Acta Chirurgica Austriaca

Volumn 41, Issue 1, 2009, Pages 26-39

  Lenglinger, J ^a   Izay, B ^a   Eisler, M ^a   Wrba, F ^a   Zacherl, J ^a   Prager, G ^a   Riegler, Franz Martin ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

Author keywords

Barrett's esophagus; Cardiac mucosa; Dilated end stage esophagus; Gastroesophageal reflux disease (GERD); Intestinal metaplasia

Indexed keywords

AGE DISTRIBUTION; BARRETT ESOPHAGUS; CANCER RISK; CLINICAL FEATURE; CLINICAL TRIAL; COLUMNAR EPITHELIUM; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE CLASSIFICATION; DYSPEPSIA; ESOPHAGEAL ADENOCARCINOMA; ESOPHAGOSCOPY; ESOPHAGUS BIOPSY; ESOPHAGUS DILATATION; ESOPHAGUS MUCOSA; GASTROESOPHAGEAL REFLUX; HISTOPATHOLOGY; HUMAN; INTERMETHOD COMPARISON; LOWER ESOPHAGUS SPHINCTER; MORBIDITY; PATHOGENESIS; PATHOLOGICAL ANATOMY; PRECANCER; REVIEW; SEX DIFFERENCE;

EID: 62249203607     PISSN: 16828631     EISSN: 16824016     Source Type: Journal    
DOI: 10.1007/s10353-009-0446-0     Document Type: Review

References (105)

1. Pohl H, Welch HG. The role of overdiagnosis and reclassification in the marked increase of esophageal adenocarcinoma incidence. J Natl Cancer Inst 2005;97:142-6
2. Pera M, Manterola C, Vidal O, Grande L. Epidemiology of esophageal adenocarcinoma. J Surg Oncol 2005;92:151-9
3. Chandrasoma PT. Epidemiology of reflux-induced cancer. In: Gastroesophageal reflux disease, a new histology-based method. Academic Press, Elsevier; 2007. pp. 2-6
4. Ringhofer C, Hackl M, Lenglinger J, Riegler M, Prager G, Zacherl J. Epidemiology of esophageal, cardiac and gastric carcinoma in Austria. Eur Surg 2007;39(Suppl 215):11 (Abstr)
5. Lenglinger J, Ringhofer C, Eisler M, Devyatko E, Cosentini E, Wrba F, Zacherl J, Riegler M. Diagnosis of gastroesophageal reflux disease (GERD). Eur Surg 2006;38(4):227-43
6. Chandrasoma P, Wickramasinghe K, Ma Y, DeMeester T. Is intestinal metaplasia a necessary precursor lesion for adenocarcinoma of the distal esophagus, gastroesophageal junction and gastric cardia? Dis Esoph 2007;20(1):36-41
7. Solaymani-Dodaran M, Logan RFA, West J, Card T, Coupland C. Risk of oesophageal cancer in Barrett's oesophagus and gastro-oesophageal reflux. Gut 2004;53:1070-4
8. Anderson LA, Watson RGP, Murphy SJ, Johnston BT, Comber H, Guigan JM, Reynolds JV, Murray LJ. Risk factors for Barrett's oesophagus and oesophageal adenocarcinoma: Results from the FINBAR study. World J Gastroenterol 2007;13(10):1585-94
9. Conio M, Filiberti R, Blanchi S, Ferraris R, Marchi S, Ravelli P, Lapertosa G, Iaquinto G, Sablich R, Gusmaroli R, Aste H, Giacosa A; Gruppo Operativo per lo Studio delle Precancerosi Esofagee (GOSPE). Risk factors for Barrett's esophagus: A case-control study. Int J Cancer 2002;97:225-9
10. Sharma P. Review article: Prevalence of Barrett's oesophagus and metaplasia at the gastro-oesophageal junction. Aliment Pharmacol Ther 2004;20(Suppl 5):48-54
11. Sampliner RE. Barrett's esophagus. In: Granderath FA, Kamolz Th, Pointner R (eds) Gastroesophageal reflux disease, principles of disease, diagnosis and treatment. Wien New York: Springer; 2006. pp. 65-71
12. Lagergren J, Bergström R, Lindgren A, Nyren O. Symptomatic gastroesophageal reflux as a risk factor for esophageal adenocarcinoma. N Engl J Med 1999;340(11):825-31
13. Theisen J, Nigro JJ, DeMeester TR, Peters JH, Gastal OL, Hagen JA, Hashemi M, Bremner CG. Chronology of the Barrett's metaplasia-dysplasia-carcinoma sequence. Dis Esoph 2004;17:67-70
14. Spechler SJ, Zeroogian JM, Antonioli DA, Wang HH, Goyal RK. Prevalence of metaplasia at the gastro-oesophageal junction. Lancet 1994;433:1533-6
15. Boyce WH. Barrett esophagus. Endoscopic findings and what to biopsy. J Clin Gastroenterol 2003;36(Suppl 1):S6-18
16. Faller G, Borchard F, Ell C, Seitz G, Stolte M, Walch A, Rüschoff J. Histopathological diagnosis of Barrett's mucosa and associated neoplasias: Results of a consensus conference of the Working Group for Gastroenterological Pathology of the German Society for Pathology on 22 September 2001 in Erlangen. Virchows Arch 2003;443:597-601
17. Sharma P, McQuaid K, Dent J, Fennerty MB, Sampliner R, Spechler S, Cameron A, Corley D, Falk G, Goldblum J, Hunter J, Jankowski J, Lundell L, Reod B, Shaheen NJ, Sonnenberg A, Wang K, Weinstein W. AGA Chicago Workshop. A critical review of the diagnosis and management of Barrett's esophagus: The AGA Chicago Workshop. Gastroenterology 2004;127:310-30
18. DeVault KR, Castell DO. American College of Gastroenterology. Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Am J Gastroenterol 2005;100(1):190-200
19. Sharma P, Dent J, Armstrong D, Bergman JJGHM, Gossner L, Hoshihara Y, Jankowski JA, Junghard O, Lundell L, Tytgat GNJ, Vieth M. The development and validation of an endoscopic grading system for Barrett's esophagus: The Prague C&M criteria. Gastroenterology 2006;131(5):1392-99
20. Hanna S, Rastogi A, Weston AP, Totta F, Schmitz R, Mathur S, McGregor D, Cherian R, Sharma P. Detection of Barrett's esophagus after endoscopic healing of erosive esophagitis. Am J Gastroenterol 2006;101:1416-20
21. Wrba F. Oncological surgery and standards in surgical pathology. Eur Surg 2006;38/1:38-40
22. Paull A, Trier JS, Dalton D, Camp R, Loeb P, Goyal RK. The histologic spectrum of Barrett's esophagus. N Engl J Med 1976;295:476-80
23. Chandrasoma PT. Columnar lined esophagus: What it is and what it tells us. Eur Surg 2006;38(3):197-209
24. Chandrasoma PT, DeMeester TR. Histologic definitions and diagnosis of epithelial types. In: GERD, Reflux to adenocarcinoma. Academic Press, Elsevier; 2006. pp. 89-106
25. Chandrasoma P, Makarewicz K, Wickramsinghe K, Ma Y, DeMeester T. A proposal for a new validated histological definition of the gastroesophageal junction. Hum Pathol 2006;37: 40-7
26. Chandrasoma PT. Definition of normal and reflux-induced anatomy and histology. In: Gastroesophageal reflux disease, a new histology-based method. Academic Press, Elsevier; 2007. pp. 112-156
27. Csendes A, Smok G, Burdiles P, Sagastune H, Rojas J, Puente G, Quezada F, Korn O. "Carditis": An objective histological marker for pathologic gastroesophageal reflux disease. Dis Esophagus 1998;11:101-5
28. Csendes A, Smok G, Burdiles P, Quesada F, Huertas C, Rojas J, Korn O. Prevalence of Barrett's esophagus by endoscopy and histologic studies: A prospective evaluation of 306 control subjects and 376 patients with symptoms of gastroesophageal reflux. Dis Esophagus 2000;13:5-11
29. Klingler A. Statistical methods in surgical research - a practical guide. Eur Surg 2004;36(2): 80-4
30. Draxler W, Mittlböck M. Basic principles in the planning of clinical trials in surgical oncology. Eur Surg 2006;38(1):27-32
31. GOSPE. Barrett's esophagus: Epidemiological and clinical results of a multi centric survey. Int J Cancer 1991;48:364-8
32. Hirota WM, Loughney TM, Lazas DJ, Maydonovitch CL, Rholl V, Wong RKH. Specialized intestinal metaplasia, dysplasia, and cancer of the esophagus and esophagogastric junction: Prevalence and clinical data. Gastroenterology 1999;116:277-85
33. Soest EM, Dieleman JP, Siersema PD, Sturkenboom MCJM. Kuipers EJ. Increasing incidence of Barrett's esophagus in the general population. Gut 2005;54:1062-6
34. Von Blankenstein M, Looman CWN, Johnston BJ, Caygill CPJ. Age and sex distribution of the prevalence of Barrett's esophagus found in a primary referral endoscopy center. Am J Gastroenterol 2005;100:568-76
35. Endlicher E, Rümmele P, Beer S, Knuvchel R, Rath H, Schlottmann K, Grossmann J, Woenckhaus U, Scovlmerich J, Messmann H. Barrett's esophagus: A discrepancy between macroscopic and histological diagnosis. Endoscopy 2005;37(11):1131-5
36. Yilmaz N, Tuncer K, Tuncyürek M, Özütemiz Ö, Bor S. The prevalence of Barrett's esophagus and erosive esophagitis in a tertiary referral center in Turkey. Turk J Gastroenterol 2006;17(2):79-83
37. El-Serag HB, Gilger MA, Shub MD, Richardson P, Bancroft J. The prevalence of suspected Barrett's esophagus in children and adolescents: a multicenter endoscopic study. Gastrointest Endosc 2006;64:671-5
38. Trudgill NJ, Suvarna SK, Kapur KC, Riley SA. Intestinal metaplasia at the squamocolumnar junction in patients attending for diagnostic gastroscopy. Gut 1997;41:585-9
39. Nandurkar S, Talley NJ, Martin CJ, Ng THK, Adams S. Esophageal histology does not provide additional useful information over clinical assessment in identifying reflux patients presenting for esophagogastroduodenoscopy. Dig Dis Sci 2000;45(2):217-24
40. Yeh C, Hsu CT, Ho AS, Sampliner RE, Fass R. Erosive esophagitis and Barrett's esophagus in Taiwan: A higher frequency than expected. Dig Dis Sci 1997;42(4):702-6
41. Chalasani N, Wo JM, Hunter JG, Waring JP. Significance of intestinal metaplasia in different areas of esophagus including esophagogastric junction. Dig Dis Sci 1997;42:603-7
42. De Mas CR, Kraemer M, Seifert M, Rippin G, Vieth M, Stolte M. Short Barrett: Prevalence and risk factors. Scand J Gastroenterol 1999;34:1065-70
43. Voutilainen M, Favrkkilä M, Juhola M, Nuorva K, Mauranen K, Mäntynen T, Kunnamo I, Mecklin JP, Sipponen P. Specialized columnar epithelium of the esophagogastric junction: Prevalence and associations. The Central Finland Endoscopy Study Group. Am J Gastroenterol 1999;94(4):913-8
44. Thomson ABR, Barkun AN, Armstrong D, Chiba N, White RJ, Daniels S, Escobedo S, Chakraborty B, Sinclair P, Van Zanten SJ. The prevalence of clinically significant endoscopic findings in primary care patients with uninvestigated dyspepsia: The Canadian Adult Dyspepsia Empiric Treatment-Prompt Endoscopy (CADET-PE) study. Aliment Pharm Ther 2003;17(12):1481-91
45. Toruner M, Soykan I, Ensari A, Kuzu I, Yurdaydin C, Özden A. Barrett's esophagus: Prevalence and its relationship with dyspeptic symptoms. J Gastroenterol Hepatol 2004;19:535-40
46. Connor MJ, Weston AP, Mayo MS, Sharma P. The prevalence of Barrett's esophagus and erosive esophagitis in patients undergoing upper endoscopy for dyspepsia in a VA population. Dig Dis Sci 2004;49/6:920-4
47. Meining A, Ott R, Hahn S, Mühlen J, Werner M, Höfler H, Classen M, Heldwein W, Rösch T. The Munich Barrett follow up study: suspicion of Barrett's esophagus based on either endoscopy or histology only-what is the clinical significance? Gut 2004;53:1402-7
48. Kim JY, Kim YS, Jung MK, Park JJ, Kang DH, Kim JS, Song CW, Lee SW, Bak YT. Prevalence of Barrett's esophagus in Korea. J Gastroenterol Hepatol 2005;20:633-6
49. Ward EM, Wolfsen HC, Achem SR, Loeb DS, Krishna M, Hemminger LL, DeVault KR. Barrett's esophagus is common in older men and women undergoing screening colonoscopy regardless of reflux symptoms. Am J Gastroenterol 2006;101:12-7
50. Weston AP, Krmpotich P, Makdisi WF, Cherian R, Dixon A, McGregor DH, Banerjee SK. Short segment Barrett's esophagus: Clinical and histological features, associated endoscopic findings, and association with gastric intestinal metaplasia. Am J Gastroenterol 1996;91(5):981-6
51. Johnston MH, Hammond AS, Laskin W, Jones DM. The prevalence and clinical characteristics of short segments of specialized intestinal metaplasia in the distal esophagus on routine endoscopy. Am J Gastroenterol 1996;91(8):1507-11
52. Öberg S, Peters JH, DeMeester TR, Chandrasoma P, Hagen JA, Ireland AP, Ritter MP, Mason RJ, Crookes P, Bremner CG. Inflammation and specialized intestinal metaplasia of cardiac mucosa is a manifestation of gastroesophageal reflux disease. Ann Surg 1997;226(4):522-32
53. Gerson LB, Shetler K, Triadafilopoulos G. Prevalence of Barrett's esophagus in asymptomatic individuals. Gastroenterology 2002;123:461-7
54. Chandrasoma PT, Der R, Ma Y, Peters J, DeMeester T. Histologic classification of patients based on mapping biopsies of the gastroesophageal junction. Am J Surg Pathol 2003;27(7):929-36
55. Csendes A, Smok G, Burdiles P, Korn O, Gradiz M, Rojas J, Recio M. Prevalence of intestinal metaplasia according to the length of the specialized columnar epithelium lining the distal esophagus in patients with gastroesophageal reflux. Dis Esophagus 2003;16(1):24-8
56. Dietz J, Meurer L, Maffazzoni DR, Furtado AD, Prolla JC. Intestinal metaplasia in the distal esophagus and correlation with symptoms of gastroesophageal reflux disease. Dis Esophagus 2003;16:29-32
57. Rex DK, Cummings OW, Shaw M, Cumings MD, Wong RKH, Vasudeva RS, Dunne D, Rahmani EY, Helper DJ. Screening for Barrett's esophagus in colonoscopy patients with and without heartburn. Gastroenterology 2003;125:1670-7
58. Zhang JZ, Chen XL, Wang KM, Guo XD, Zuo AL, Gong J. Barrett's esophagus and its correlation with gastroesophageal reflux in Chinese. World J Gastroenterol 2004;10(7):1065-8
59. Marsman WA, van Sandick JW, Tygat GNJ, ten Kate FJW, van Lanschot JJB. The presence and mucin histochemistry of cardiac type mucosa at the esophagogastric junction. Am J Gastroenterol 2004;99:212-7
60. Westhoff B, Brotze S, Weston A, McElhinney C, Cherian R, Mayo M, Smith HJ, Sharma P. The frequency of Barrett's esophagus in high-risk patients with chronic GERD. Gastrointest Endosc 2005;61:226-31
61. Malfertheiner P, Lind T, Willich S, Vieth M, Jaspersen D, Labenz J, Meyer-Sabellek W, Junghard O, Stolte M. Prognostic influence of Barrett's oesophagus and Helicobacter pylori infection on healing of erosive gastroesophageal reflux disease (GERD) and symptom resolution in non-erosive GERD: Report from the ProGERD study. Gut 2005;54:746-51
62. Labenz J, Nocon M, Lind T, Leodolter A, Jaspersen D, Meyer-Sabellek W, Stolte M, Vieth M, Willich SN, Malfertheiner P. Prospective follow up data from the ProGERD study suggest that GERD is not a categorial disease. Am J Gastroenterol 2006;101:2457-62
63. Johansson J, Hakansson HO, Mellblom L, Kempas A, Johansson KE, Granath F, Nyren O. Prevalence of precancerous and other metaplasia in the distal oesophagus and gastro-oesophageal junction. Scand J Gastroenterol 2005;40:893-902
64. Bafandeh Y, Esmaili H, Aharizad S. Endoscopic and histologic findings in Iranian patients with heartburn. Ind J Gastroenterol 2005;24:236-8
65. Lenglinger J, Ringhofer C, Eisler M, Sedivy R, Wrba F, Zacherl J, Cosentini EP, Prager G, Heafner M, Riegler M. Histopathology of columnar lined esophagus in patients with gastroesophageal reflux disease. Wien Klin Wochenschr 2007;119(13/14):405-11
66. Ronkainen J, Aro P, Storskrubb T, Johansson SE, Lind T, Bolling-Sternevald E, Vieth M, Stolte M, Talley NJ, Agreus L. Prevalence of Barrett's esophagus in the general population: An endoscopy study. Gastroenterology 2005;129:1825-31
67. Jain R, Aquino D, Harford WV, Lee E, Spechler SJ. Cardiac epithelium is found infrequently in the gastric cardia. Gastroenterology 1998;114:A 160 (Abstract)
68. Goldblum JR, Richter JE, Vaezi M, Falk GW, Rice TW, Peek RM. Helicobacter pylori infection, not gastroesophageal reflux, is the major cause of inflammation and intestinal metaplasia of gastric cardia. Am J Gastroenterol 2002;97(2):302-11
69. Cestari R, Villanacci V, Bassotti G, Rossi E, Della Casa D, Missale G, Minelli L, Cengia P, Gambarotti M, Pirali F, Donato F, Genta RM. The pathology of gastric cardia. A prospective, endoscopic, and morphologic study. Am J Surg Pathol 2007;31:706-10
70. Wieczorek TJ, Wang H, Antonioli DA, Glickman JN, Odze RD. Pathologic features of reflux and Helicobacter pylori-associated carditis. Am J Pathol 2003;27(7):960-8
71. Odze RD. Unraveling the mystery of the gastroesophageal junction: A pathologist's perspective. Am J Gastroenterol 2005;100:1853-76
72. Allison PR, Johnstone AS. The esophagus lined with gastric mucous membrane. Thoarx 1953;8:87-101
73. Barrett NR. The lower esophagus lined by columnar epithelium. Surgery 1957;41(6):881-94
74. Theisen J, Öberg S, Peters JH, Gastal O, Bremner CG, Mason R, DeMeester TR. Gastro-esophageal reflux disease confined to the sphincter. Dis Esoph 2001;14:235-38
75. Chandrasoma P, Wickramasinghe K, Ma Y, DeMeester T. Adenocarcinomas of the distal esophagus and "gastric cardia" are predominantly esophageal adenocarcinomas. Am J Surg Pathol 2007;31:569-75
76. Ringhofer C, Lenglinger J, Eisler M, Wrba F, Sedivy R, Zacherl J, Cosentini EP, Prager G, Devyatko E, Riegler M. Videoendoscopy and histopathology of the esophagogastric junction in patients with gastroesophageal reflux disease. Wien Klin Wochenschr 2007;119 (9-10):283-90
77. Chandrasoma PT, Der R, Dalton P, Kobayashi G, Ma Y, Peters J, DeMeester T. Distribution and significance of epithelial types in columnar lined esophagus. Am J Surg Pathol 2001;25(9):1188-93
78. Chandrasoma P, DeMeester TR. Reflux disease limited to the dilated end-stage esophagus: The pathologic basis of NERD. In: GERD, Reflux to adenocarcinoma. Academic Press, Elsevier; 2006. pp. 267-96
79. Orlando R, Dobrucali AM. Gastroesophageal reflux disease. In: Feldman M, Orlando R, editors. Atlas of esophageal diseases. 2nd ed. Current Medicine; 2002. pp. 91-116
80. Kahrilas PJ, Shi G, Manka M, Joehl RJ. Increased frequency of transient lower esophageal sphincter relaxation induced by gastric distention in reflux patients with hiatal hernia. Gastroenterology 2000;118:688-95
81. Csendes A, Maluenda F, Braghetto I, Csendes P, Henriquez A, Quesada MS. Location of the lower esophageal sphincter and the squamous columnar mucosal junction in 109 healthy controls and 778 patients with different degrees of endoscopic oesophagitis. Gut 1993;34:21-7
82. Jacobson BC, Somers SC, Fuchs CS, Kelly CP, Camargo CA. Body-mass index and symptoms of gastroesophageal reflux in women. N Engl J Med 2006;354:2340-8
83. Bu X, Ma Y, Der R, DeMeester T, Bernstein L, Chandrasoma PT. Body mass index is associated with Barrett's esophagus and cardiac mucosal metaplasia. Dig Dis Sci 2006;51:1589-94
84. Kubo A, Corley DA. Body mass index and adenocarcinomas of the esophagus or gastric cardia: A systematic review and metaanalysis. Cancer Epidemiol Biomarkers Prev 2006;15(5):872-8
85. Corley DA, Kubo A, Levin TR, Block G, Habel L, Zhao W, Leighton P, Quesenberry C, Rumore G, Buffler PA. Abdominal obesity and body mass index as risk factors for Barrett's esophagus. Gastroenterology 2007;133:34-41
86. Siewert JR, Feith M, Werner M, Stein HJ. Adenocarcinoma of the esophagogastric junction. Results of surgical therapy based on anatomical/topographic classification in 1002 consecutive patients. Ann Surg 2000;232(3):353-61
87. Sarbia M, Donner A, Gabbert HE. Histopathology of the gastroesophageal junction. A study on 36 operation specimens. Am J Surg Pathol 2002;26(9):1207-12
88. Gadenstaetter M, Klocker J, Weiss H, Wetscher GJ. Prokinetic medication after surgical therapy of reflux patients with disorders of esophageal peristalsis: A randomized clinical study. Wien Klin Wochenschr 2000;112:917-21
89. Gadenstaetter M, Klinger A, Klocker H, Wetscher GJ. Long-term results of laparoscopic partial posterior fundoplication in patients with esophageal reflux and disorders of esophageal peristalsis. Wien Klin Wochenschr 2000;112:70-4
90. Wykypiel H, Gadenstätter M, Granderath FA, Klingler PJ, Wetscher GJ. Pathophysiology of gastroesophageal reflux disease (GERD) with respect to reflux induced carcinogenesis. Eur Surg 2002;34/5:296-302
91. Zacherl J, Neumayer C, Langer F. Esophageal cancer: International guidelines in interdisciplinary diagnosis and treatment. Eur Surg 2006;38/2:79-88
92. Wykypiel H, Bonatti H, Hinder RA, Glaser K, Wetscher GJ. The laparoscopic fundoplications: Nissen and partial posterior (Toupet) fundoplication. Eur Surg 2006;38/4:244-9
93. Wang KK, Sampliner RE. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett's esophagus. Am J Gastroenterol 2008;103:788-97
94. Spechler SJ. Screening and surveillance for Barrett's esophagus - an unresolved dilemma. Nature Clin Practice Gastroenterol Hepatol 2007;4(9):470-1
95. Horwath JD, Baroni D, Maydonovitch C, Osgard E, Ormseth E, Rueda-Pedraza E, Lee HJ, Hirota WK, Wong RKH. Normalization of intestinal metaplasia in the esophagus and esophagogastric junction: Incidence and clinical data. Am J Gastroenterol 2007;102:497-506
96. Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R, and the Global Consensus Group. The Montreal definition and classification of gastroesophageal reflux disease: A global evidence-based consensus. Am J Gastroenterol 2006;101:1900-20
97. Sharma P, Dent J, Armstrong D, Bergman JJGHM, Gossner L, Hoshihara Y, Jankowski JA, Junghard O, Lundell L, Tytgat GN, Vieth M. The development and validation of an endoscopic grading system for Barrett's esophagus: the Prague C & M criteria. Gastroenterology 2006;131:1392-9
98. Bredenord AJ. High-resolution manometry - bliss upon bliss for esophagology? Eur Surg 2007;39/3:167-73
99. Lenglinger J, Eisler M, Wrba F, Prager G, Zacherl J, Riegler M. Update: histopathology-based definition of gastroesophageal reflux disease and Barrett's esophagus. Eur Surg 2008;40(4):165-75
100. Häfner M. Novel endoscopic technologies: Narrow band imaging. Eur Surg 2008;40(6):270-6
101. Curvers WL, Bohmer CJ, Mallant Hent RC, Naber AH, Ponsioen CIJ, Ragunath K, Singh R, Wallace MB, Wolfsen HC, Wong Kee Song LM, Lindeboom R, Fockens P, Bergman JJ. Mucosal morphology in Barrett's esophagus: interobserver agreement and role of narrow band imaging. Endoscopy 2008;40:799-805
102. Pointner R, Granderath FA. Laparoscopic fundoplication: When, how and what to do i fit fails? Eur Surg 2008;40(6):261-9
103. Vlug MS, Wind J, Eshuis JH, Lindeboom R, van Berge Henegouwen MI, Bemelman WA. Feasibility of laparoscopic Nissen fundoplication as a day-case procedure. Surg Endosc 2009 (in press)
104. Csendes A, Smok P, Burdiles I, Braghetto A, Henriquez A. Barrett's esophagus can develop after antireflux surgery. Eur Surg 2008;40(5):245-52
105. Li YM, Li L, Yu CH, Liu YS, Xu CF. A systematic review and metaanalysis of the treatment for Barrett's esophagus. Dig Dis Sci 2008;53(11):2837-46