By Shanda H. Blackmon, Min P. Kim, Karen J. Dickinson

This atlas presents a entire, state of the art assessment of all interventions that pertain to the esophagus. It features a assessment of the present staging modalities, ablation applied sciences, resection and reconstruction concepts, and disorder class. Evidence-based instructions relating to how each one intervention is selected also are integrated. With colour illustrations and pictures for every surgical procedure, the atlas information particular anatomic themes comparable to micro-anatomy of Barrett’s and Dysplasia, EMR pathology, endoscopic ultrasound, and traditional surgical anatomy. every one intervention is gifted in activity layout as a job record to be checked-off as each one step is completed.

Written by way of specialists within the box, Atlas of Esophageal disorder and Intervention: A Multidisciplinary Approach serves as a invaluable 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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Visualizing the mucosal surface may require using forceps to hold the specimen open (Fig. 19), unlike the specimens pictured in the other gross photographs. Histology shows marked thickening and fibrosis of the lamina propria, submucosa, and muscularis propria (Fig. 20). (Compare the normal histology in Fig. ) Fig. 19 Stricture of the esophagus, fresh specimen 44 Fig. 20 Histology of stricture (H & E, ×20) B. Gorman 2 Histologic Anatomy 45 Inlet Patch The inlet patch is characterized by ectopic gastric mucosa that is surrounded by normal squamous mucosa (Fig.

A b Fig. 21 (a) Inlet patch (H & E, ×40). The mucosa on the left side of this photomicrograph shows essentially normal gastric mucosa with foveolar and glandular epithelium. The mucosa on the right shows normal esophageal squamous epithelium. (b) Inlet patch (H & E, ×200). On higher power, the gastric mucosa of the inlet patch is identical to that seen in the stomach, with foveolar epithelium overlying gastric glands composed of mucus neck cells, parietal cells, and chief cells. Oxyntic-type gastric mucosa is most common, although antral and mixed type are also seen [10] 46 B.

10 (a) Intramucosal adenocarcinoma (H & E, ×100). (b) Intramucosal adenocarcinoma (H & E, ×200) B. Gorman a b Fig. 11 Untreated adenocarcinoma at the gastroesophageal junction (fresh specimen) 2 Histologic Anatomy a 35 b c Fig. 12 Esophageal adenocarcinoma. (a) Adenocarcinoma (H & E, ×20). (b) Adenocarcinoma showing perineural invasion (H & E, ×100). (c) Adenocarcinoma with complex, cribriform architecture (H & E, ×400). Note the irregular size and shape of gland lumina with intraluminal necrosis.

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