By Shanda H. Blackmon, Min P. Kim, Karen J. Dickinson
This atlas offers a finished, cutting-edge overview of all interventions that pertain to the esophagus. It encompasses a assessment of the present staging modalities, ablation applied sciences, resection and reconstruction thoughts, and disorder class. Evidence-based guidance concerning how every one intervention is selected also are integrated. With colour illustrations and pictures for every surgical procedure, the atlas information particular anatomic subject matters corresponding to micro-anatomy of Barrett’s and Dysplasia, EMR pathology, endoscopic ultrasound, and traditional surgical anatomy. every one intervention is gifted in activity structure as a job record to be checked-off as every one step is completed.
Written by way of specialists within the box, Atlas of Esophageal affliction and Intervention: A Multidisciplinary Approach serves as a useful source for any practitioner who plays esophageal intervention and may consultant new surgeons and gastroenterologists into the hybrid multidisciplinary method of this disease.
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Extra resources for Atlas of Esophageal Disease and Intervention: A Multidisciplinary Approach
Standring S. Gray’s anatomy: the anatomical basis of clinical practice. 40th ed. Philadelphia: Elsevier; 2009. Netter FH. Atlas of human anatomy. Philadelphia: Elsevier; 2014. Chapter 2 Histologic Anatomy Blythe Gorman Esophageal Pathology Cytologic sampling and tissue biopsy of the esophagus should be considered in the context of the patient’s history and endoscopic findings. The location of the lesion in the esophagus, the endoscopic appearance of the lesion, and any other clinical or endoscopic findings are all valuable data points to the pathologist.
The atypical nuclei extend beyond the crypt epithelium to involve the superficial epithelium. Focal goblet-cell depletion may also occur. The contours of the dysplastic glands are more irregular than those without dysplasia. In contrast to high-grade dysplasia, low-grade dysplasia retains some nuclear polarity (most nuclei are oriented toward the basal aspect of the cell, away from the luminal surface) and the nuclei remain elongated or cigar-shaped. Focal goblet cell depletion and nuclear stratification a Irregular gland contour and irregular spacing of glands Fig.
18). Intraepithelial clusters of eosinophils (eosinophilic abscesses) and degranulation are characteristic. Features of reflux esophagitis are also seen (basal cell hyperplasia, dilated intercellular spaces, and elongation of the lamina propria papillae) . Scattered eosinophils may be present in reflux esophagitis, but the amount seen in eosinophilic esophagitis is far greater. Some authors use a cutoff of at least 20 eosinophils per high-power field, but the exact number of eosinophils required for the diagnosis is debated and requires additional study .