巴瑞特食道：症狀、治療與管理建議-肝膽腸胃科

巴瑞特氏食道？

醫師您好，下列為本人的胃鏡檢查病理報告。
【Report of EGD】Esophagus: A shallow ulcer noted at EG junction, s/p biopsy *1 for patholog. Mucosa break less than 5mm noted at EG junction.Stomach: esophagogastric flap valve (EGFV) type I (Hill's classification) Cardia and fundus: negativeAngle : negativeBody : negativeAntrum: hyperemia was noted, s/p self-paid CLO testDuodenum: negative of the bulb and 2nd portion.【Diagnostic Impression】1.Esophageal ulcers, EG junction, s/p biopsy2.GERD, LA grade A3.Superficial gastristis, antrum, s/p self-paid CLO test【Suggestion of management】PPI therapyCLO Test Report: Negative(-)【病理報告】labeled as EG junction, anastomosis site, biopsy, chronic inflammation with ulcer and intestinal metaplasia.【描述】the specimen submittsed consists of a tissue fragment measuring 0.2*0.1*0.1cm. in size fixed in formalin.Grossly, it is tan and elastic. All for section.Microscopically, the ssection shows gastric mucosa only, revealing ulcer with inflammatory exudate and mixed acute and chronic inflammatory cell infiltration.Areas of intestinal metaplasia is noted as well. No squamous epithelium is included.combined with clinical information, Barrett's esophagus with ulcer might be considered . Please correlate with clinical presentation.胃食道逆流、胃炎已困擾我十多年，近幾年越發嚴重，以下有幾個問題想向您請益：
1、上述胃鏡檢查是否已確定為「巴瑞特食道」？
以及內容有看到「腸化生」字眼，但不知其確切意思為何？
嚴重程度如何？

2、由於已服用PPI藥物『得喜胃通』三個多月，症狀僅略有改善而已，應繼續服藥多久？
（本人骨鬆嚴重，T值為-3.4，擔心PPI藥物會影響鈣質吸收）
3、何時應再照胃鏡？

4、有需要做「24小時胃酸鹼測試」嗎？
目前症狀為～胸口常有壓重感、打嗝、脹氣、偶乾咳、有痰。
煩請醫師能予以提供建議，不勝感激！！