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Главная Публикации из Facebook “Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой)
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<div style="text-align: justify;">“Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) - редкая эндоскопическая находка и ассоциируется с эозинофильным эзофагитом, кандидозом и пищеводом Барретта у взрослых. Он также может быть найден при тяжелом рефлюкс-эзофагите, вторичен к дистальной обструкции гастроинтестинального тракта. В нашем случае - это пациент после с 9-летним стажем бандажирования кардиального отдела желудка, признаками дуоденостаза, фундальной эрозивной гастропатией, расширением пищевода и уровнем жидкости в нем при горизонтальном положении, грыжи ПОД, эрозивно-язвенном дистальном эзофагите.. Пациент просто пришел удалить полип в прямой кишке и заодно посмотреть, что творится в желудке.... Ацетообеление+NBI+биопсия. ИПП на 3-4 мес и повтор для решения о Барретте.</div>
 
<div style="text-align: justify;"> </div>
 
<div>ЗАКЛЮЧЕНИЕ: </div>
 
<div> 
  <br />
 </div>
 <u> Гистология пищевод#1</u>
<div><u>
    <br />
  </u> 
  <div>Комментарий:</div>
 
  <div>БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9801</div>

  <div>
    <br />
   Вид биопсии: Диагностическая</div>

  <div>
    <br />
   ОБЪЕКТ: биопсия пищевода</div>

  <div>
    <br />
  </div>
 
  <div>Количество фрагментов: 6</div>

  <div>
    <br />
  </div>
 
  <div>МАКРООПИСАНИЕ:</div>

  <div>Флакон №4.</div>
 
  <div>
    <br />
  </div>

  <div>МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:</div>
 
  <div style="text-align: justify;">В присланном на исследование материале фрагменты слизистой оболочки пищевода без подлежащей стромы, представленной пластом многослойного плоского эпителия с явлениями паракератоза и акантоза. Признаков дисплазии эпителия, пищевода Барретта в исследованном материале не обнаружено.</div>

  <div style="text-align: justify;">
    <br />
  </div>
 
  <div>ЗАКЛЮЧЕНИЕ:</div>

  <div>Паракератоз слизистой оболочки пищевода. </div>
 
  <div>
    <br />
  </div>

  <div>МКБ-10: К22.8 Другие уточненные болезни пищевода.</div>
 
  <div><hr/></div>
 
  <div><u> Гистология пищевод #2 </u></div>

  <div><u>
      <br />
    </u></div>
 
  <div>Комментарий: . 
    <br />
   БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9800 
    <br />
   
    <br />
   Вид биопсии: Диагностическая 
    <br />
   
    <br />
   ОБЪЕКТ: биопсия пищевода 
    <br />
   
    <br />
   Количество фрагментов: 2 
    <br />
   
    <br />
   МАКРООПИСАНИЕ: 
    <br />
   Флакон №3. 
    <br />
   
    <br />
   МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ: 
    <br />
   
    <div style="text-align: justify;">В присланном материале фрагменты слизистой оболочки пищевода, представленной многослойным плоским неороговевающим эпителием с явлениями акантоза и фокусами цилиндроклеточной метаплазии. Признаков дисплазии эпителия в исследованном материале не обнаружено.</div>
   
    <br />
   ЗАКЛЮЧЕНИЕ: 
    <br />
   
    <div style="text-align: justify;">Хроническая гастроэзофагальная рефлюксная болезнь, стадия умеренной активности.</div>
   </div>
 
  <div style="text-align: justify;"> 
    <br />
   </div>
 
  <div style="text-align: justify;">МКБ-10: К21.0 Гастроэзофагеальный рефлюкс с эзофагитом.</div>
 
  <div style="text-align: justify;"><hr/></div>
 
  <div style="text-align: justify;"><u> Гистология желудок </u></div>
 
  <div style="text-align: justify;"> 
    <br />
   </div>
 
  <div style="text-align: justify;">Вид биопсии: Диагностическая 
    <br />
   
    <br />
   ОБЪЕКТ: гастробиопсия 
    <br />
   
    <br />
   Количество фрагментов: 6 
    <br />
   
    <br />
   МАКРООПИСАНИЕ: 
    <br />
   Флакон №1. 
    <br />
   
    <br />
   МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ: 
    <br />
   Присланный на исследование материал представлен фрагментами отечной и полнокровной слизистой оболочки как антрального отдела желудка с гиперплазией желез и элементами хронической эрозии в стадии умеренно выраженного обострения, так и фундального типа. Отмечается очаговый склероз собственной пластинки, диффузная лимфоплазмоцитарная инфильтрация с примесью большого числа сегментоядерных лейкоцитов. Слизеобразование неравномерно снижено. Хеликобактер обнаружен (+++) в ямках и в слизи. Морфологических признаков дисплазии эпителия в исследованном материале не обнаружено. 
    <br />
   
    <br />
   ЗАКЛЮЧЕНИЕ: 
    <br />
   Хронический диффузный активный гастрит, хроническая эрозия антрального отдела желудка. Хеликобактериоз желудка. 
    <br />
   
    <br />
   МКБ-10: К29.5 Хронический гастрит. 
    <br />
   
    <br />
   МКБ-10: В96.8 Хеликобактериоз желудка, двенадцатиперстной кишки.</div>
 </div>

                            [TYPE] => HTML
                        )

                    [DESCRIPTION] => 
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                            [TEXT] =>  
“Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) - редкая эндоскопическая находка и ассоциируется с эозинофильным эзофагитом, кандидозом и пищеводом Барретта у взрослых. Он также может быть найден при тяжелом рефлюкс-эзофагите, вторичен к дистальной обструкции гастроинтестинального тракта. В нашем случае - это пациент после с 9-летним стажем бандажирования кардиального отдела желудка, признаками дуоденостаза, фундальной эрозивной гастропатией, расширением пищевода и уровнем жидкости в нем при горизонтальном положении, грыжи ПОД, эрозивно-язвенном дистальном эзофагите.. Пациент просто пришел удалить полип в прямой кишке и заодно посмотреть, что творится в желудке.... Ацетообеление+NBI+биопсия. ИПП на 3-4 мес и повтор для решения о Барретте.
 
ЗАКЛЮЧЕНИЕ:

Гистология пищевод#1

Комментарий:
БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9801

Вид биопсии: Диагностическая

ОБЪЕКТ: биопсия пищевода

Количество фрагментов: 6

МАКРООПИСАНИЕ:
Флакон №4.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
В присланном на исследование материале фрагменты слизистой оболочки пищевода без подлежащей стромы, представленной пластом многослойного плоского эпителия с явлениями паракератоза и акантоза. Признаков дисплазии эпителия, пищевода Барретта в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Паракератоз слизистой оболочки пищевода.

МКБ-10: К22.8 Другие уточненные болезни пищевода.

Гистология пищевод #2

Комментарий: .
БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9800

Вид биопсии: Диагностическая

ОБЪЕКТ: биопсия пищевода

Количество фрагментов: 2

МАКРООПИСАНИЕ:
Флакон №3.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
В присланном материале фрагменты слизистой оболочки пищевода, представленной многослойным плоским неороговевающим эпителием с явлениями акантоза и фокусами цилиндроклеточной метаплазии. Признаков дисплазии эпителия в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Хроническая гастроэзофагальная рефлюксная болезнь, стадия умеренной активности.

МКБ-10: К21.0 Гастроэзофагеальный рефлюкс с эзофагитом.

Гистология желудок

Вид биопсии: Диагностическая

ОБЪЕКТ: гастробиопсия

Количество фрагментов: 6

МАКРООПИСАНИЕ:
Флакон №1.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
Присланный на исследование материал представлен фрагментами отечной и полнокровной слизистой оболочки как антрального отдела желудка с гиперплазией желез и элементами хронической эрозии в стадии умеренно выраженного обострения, так и фундального типа. Отмечается очаговый склероз собственной пластинки, диффузная лимфоплазмоцитарная инфильтрация с примесью большого числа сегментоядерных лейкоцитов. Слизеобразование неравномерно снижено. Хеликобактер обнаружен (+++) в ямках и в слизи. Морфологических признаков дисплазии эпителия в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Хронический диффузный активный гастрит, хроническая эрозия антрального отдела желудка. Хеликобактериоз желудка.

МКБ-10: К29.5 Хронический гастрит.

МКБ-10: В96.8 Хеликобактериоз желудка, двенадцатиперстной кишки.
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(эзофагит со слизистой булыжной мостовой) [ELEMENT_CHAIN] => “Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) [BROWSER_TITLE] => “Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) [KEYWORDS] => [DESCRIPTION] => “Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) - нашей официальной группы. ) [COUNT_RAIT] => Array ( [5] => 1 ) [RAIT] => 5 [RAIT_USER] => Y [TORIGHT] => Array ( [NAME] => Ленточный червь Лучший клинический случай группы за октябрь 2017 [URL] => /publikatsii-iz-facebook/lentochnyy-cherv-luchshiy-klinicheskiy-sluchay-gruppy-za-oktyabr-2017/ ) [TOLEFT] => Array ( [NAME] => Геморроидальные вены Лучшие публикации из FB [URL] => /publikatsii-iz-facebook/gemorroidalnye-veny-luchshie-publikatsii-iz-fb/ ) [FAVORITES] => Array ( [0] => 260243 [1] => 260287 [2] => 264195 [3] => 265695 [4] => 263472 [5] => 259843 [6] => 260318 [7] => 260095 [8] => 264220 [9] => 262046 [10] => 260143 [11] => 259901 [12] => 260209 [13] => 265411 [14] => 260400 [15] => 265594 ) [STUDY] => Array ( [0] => 263462 [1] => 265394 [2] => 265505 [3] => 265402 [4] => 261793 [5] => 265362 [6] => 265594 [7] => 263320 [8] => 259843 [9] => 261834 ) )

Публикации из Facebook: “Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой)

Авторы: Ondre Kovcov 2019г.

Введение:

“Cobblestone esophagitis” (эзофагит со слизистой булыжной мостовой) - редкая эндоскопическая находка и ассоциируется с эозинофильным эзофагитом, кандидозом и пищеводом Барретта у взрослых. Он также может быть найден при тяжелом рефлюкс-эзофагите, вторичен к дистальной обструкции гастроинтестинального тракта. В нашем случае - это пациент после с 9-летним стажем бандажирования кардиального отдела желудка, признаками дуоденостаза, фундальной эрозивной гастропатией, расширением пищевода и уровнем жидкости в нем при горизонтальном положении, грыжи ПОД, эрозивно-язвенном дистальном эзофагите.. Пациент просто пришел удалить полип в прямой кишке и заодно посмотреть, что творится в желудке.... Ацетообеление+NBI+биопсия. ИПП на 3-4 мес и повтор для решения о Барретте.
 
ЗАКЛЮЧЕНИЕ:

Гистология пищевод#1

Комментарий:
БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9801

Вид биопсии: Диагностическая

ОБЪЕКТ: биопсия пищевода

Количество фрагментов: 6

МАКРООПИСАНИЕ:
Флакон №4.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
В присланном на исследование материале фрагменты слизистой оболочки пищевода без подлежащей стромы, представленной пластом многослойного плоского эпителия с явлениями паракератоза и акантоза. Признаков дисплазии эпителия, пищевода Барретта в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Паракератоз слизистой оболочки пищевода.

МКБ-10: К22.8 Другие уточненные болезни пищевода.

Гистология пищевод #2

Комментарий: .
БИОПСИЙНОЕ ИССЛЕДОВАНИЕ № 9800

Вид биопсии: Диагностическая

ОБЪЕКТ: биопсия пищевода

Количество фрагментов: 2

МАКРООПИСАНИЕ:
Флакон №3.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
В присланном материале фрагменты слизистой оболочки пищевода, представленной многослойным плоским неороговевающим эпителием с явлениями акантоза и фокусами цилиндроклеточной метаплазии. Признаков дисплазии эпителия в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Хроническая гастроэзофагальная рефлюксная болезнь, стадия умеренной активности.

МКБ-10: К21.0 Гастроэзофагеальный рефлюкс с эзофагитом.

Гистология желудок

Вид биопсии: Диагностическая

ОБЪЕКТ: гастробиопсия

Количество фрагментов: 6

МАКРООПИСАНИЕ:
Флакон №1.

МИКРОСКОПИЧЕСКОЕ ОПИСАНИЕ:
Присланный на исследование материал представлен фрагментами отечной и полнокровной слизистой оболочки как антрального отдела желудка с гиперплазией желез и элементами хронической эрозии в стадии умеренно выраженного обострения, так и фундального типа. Отмечается очаговый склероз собственной пластинки, диффузная лимфоплазмоцитарная инфильтрация с примесью большого числа сегментоядерных лейкоцитов. Слизеобразование неравномерно снижено. Хеликобактер обнаружен (+++) в ямках и в слизи. Морфологических признаков дисплазии эпителия в исследованном материале не обнаружено.

ЗАКЛЮЧЕНИЕ:
Хронический диффузный активный гастрит, хроническая эрозия антрального отдела желудка. Хеликобактериоз желудка.

МКБ-10: К29.5 Хронический гастрит.

МКБ-10: В96.8 Хеликобактериоз желудка, двенадцатиперстной кишки.

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