Abstract
The oesophageal epithelium of patients with reflux oesophagitis has been studied by means of computer aided morphometry. Measurements of histological features were made on biopsies from six cases before and after treatment. The size and elongation of the nuclei and their variation, the number of nuclei per unit length or per unit sectioned area, and the size and number of nucleoli per nucleus were measured for two zones of the epithelium, the base layer and the intermediate layer, which were independent of section orientation. The measurements were analysed using discriminant analysis. Significant discrimination was found between the two groups. The most important parameters were the number of intermediate layer nuclei per sectioned square millimetre, the mean intermediate layer nuclear area, and the number of nuclei per millimetre of base epithelium. These parameters are consistent with increased cell turnover of the non-ulcerated epithelium before treatment.
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- Adami B., Eckardt V. F., Paulini K. Sampling error and observer variation in the interpretation of esophageal biopsies. Digestion. 1979;19(6):404–410. doi: 10.1159/000198401. [DOI] [PubMed] [Google Scholar]
- Ismail-Beigi F., Horton P. F., Pope C. E., 2nd Histological consequences of gastroesophageal reflux in man. Gastroenterology. 1970 Feb;58(2):163–174. [PubMed] [Google Scholar]
- Knuff T. E., Benjamin S. B., Worsham G. F., Hancock J. E., Castell D. O. Histologic evaluation of chronic gastroesophageal reflux. An evaluation of biopsy methods and diagnostic criteria. Dig Dis Sci. 1984 Mar;29(3):194–201. doi: 10.1007/BF01296251. [DOI] [PubMed] [Google Scholar]
- Konturek S. J., Cieszkowski M., Kwiecień N., Konturek J., Tasler J., Bilski J. Effects of omeprazole, a substituted benzimidazole, on gastrointestinal secretions, serum gastrin, and gastric mucosal blood flow in dogs. Gastroenterology. 1984 Jan;86(1):71–77. [PubMed] [Google Scholar]
- Lind T., Cederberg C., Ekenved G., Haglund U., Olbe L. Effect of omeprazole--a gastric proton pump inhibitor--on pentagastrin stimulated acid secretion in man. Gut. 1983 Apr;24(4):270–276. doi: 10.1136/gut.24.4.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olbe L., Haglund U., Leth R., Lind T., Cederberg C., Ekenved G., Elander B., Fellenius E., Lundborg P., Wallmark B. Effects of substituted benzimidazole (H 149/94) on gastric acid secretion in humans. Gastroenterology. 1982 Jul;83(1 Pt 2):193–198. [PubMed] [Google Scholar]
- Weinstein W. M., Bogoch E. R., Bowes K. L. The normal human esophageal mucosa: a histological reappraisal. Gastroenterology. 1975 Jan;68(1):40–44. [PubMed] [Google Scholar]