1、胃食管反流性疾病及反流性食管炎 Gastroesophageal Reflex Diseas（GERD）And Reflux Esophagitis（RE）1BE腺癌腺癌GERD：胃食管反流性疾病胃食管反流性疾病RE：反流性食管炎反流性食管炎NERD：BE：日本 10.3%北美洲20-40%欧洲欧洲2538%中国中国8.97%国内国内GERD的的HClPepsinBilePancreatic enzymes食食 管管 裂裂 孔孔 疝疝24h24h食管食管phph监测监测24h24h食管胆汁反流监测食管胆汁反流监测食管压力测定食管压力测定食管滴酸试验食管滴酸试验食管钡餐食管钡餐 正常食管正常食管
2、24小时小时pH监测图监测图Mucosal breaks confined to the mucosal fold,each no longer than 5 mmAt least one mucosal break longer than 5 mm confined to the mucosal fold but not continuous between two foldsMucosal breaks that are continous between the tops of mucosal folds but not circumferentialExtensive mucosal
3、breaks engaging at least 75%of the esophageal circumferenceGrade AGrade BGrade CGrade DStomachStomachStomachStomach正正 常常 食食 管管 目的目的 方法方法H+38内窥镜下缝合内窥镜下射频消融术内窥镜下注射药物内内窥窥镜镜下下缝缝合合射射 频频 治治 疗疗内内 窥窥 镜镜 下下 注注 射射 假假 体体结束语当你尽了自己的最大努力时，失败也是伟大的，所以不要放弃，坚持就是正确的。When You Do Your Best,Failure Is Great,So DonT Give Up,Stick To The End感谢聆听不足之处请大家批评指导Please Criticize And Guide The Shortcomings演讲人：XXXXXX 时 间：XX年XX月XX日
