Application of the Prague C and M criteria for endoscopic description of columnar-lined esophagus in South Korea

• 作者: Beom Jae Lee Hyo Jung Kim Jae Seon Kim Ji Hoon Kim Jong Eun Yeon Jong-Jae Park Jung Wan Choe Kwan Soo Byun Moon Kyung Joo Young Choon Kim Young-Tae Bak
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Barrett’s ESOPHAGUS ENDOSCOPY Columnarlined ESOPHAGUS Prague CRITERIA
• 年，卷（期）: 2016,（8）
• 页码范围: 357-361
• 页数: 5页
• 分类号: R

摘要

AIM: To ascertain whether the Prague circumferential (C) length and maximal (M) length criteria for grading the extent of Barrett’s esophagus can be applied prior to its widespread application in South Korea.METHODS: Two hundred and thirteen consecutive cases with endoscopic columnar-lined esophagus (CLE) were included and classified according to the Prague C and M criteria. RESULTS: Of 213 cases with CLE, the distribution of maximum CLE lengths was: 0.5-0.9 cm in 99 cases (46.5%); 1.0-1.4 cm in 63 cases (29.6%); 1.5-1.9 cm in 15 cases (7.0%); 2.0-2.4 cm in 14 cases (6.6%);2.5-2.9 cm in 1 case (0.5%); and 7.0 cm in 1 case (0.5%). Twenty cases (9.4%) had columnar islands alone. Two hundred and eight cases (97.7%) lacked the circumferential CLE component (C0Mx). Columnar islands were found in 70 cases (32.9%), of which 20 cases (9.4%) had columnar islands alone.CONCLUSION: In regions where most CLE patients display short or ultrashort tongue-like appearance, more detailed descriptions of CLE’s in < 1.0 cm lengths and columnar islands, as well as avoidance of repeating the prefix “C0” need to be considered in parallel with the widespread application of the Prague system in South Korea.