Total columnar-lined esophagus. A case for congenital origin?

Abida Haque, M. Merkel

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

We describe a patient with a long history of hiatal hernia, who at autopsy was found to have an esophagus that was totally lined by columnar epithelium. To our knowledge, this is the first documented case of an esophagus totally lined by columnar epithelium in an adult. Recent articles have emphasized the acquired nature of Barrett esophagus, also known as lower columnar-lined esophagus. Several reports have shown the ascent of columnar mucosa from the lower to middle esophagus over time. The failure of the columnar epithelium lining the esophagus to revert back to squamous type, once the irritating stimulus is removed, casts doubt on the metaplastic nature of this lesion. We believe that Barrett esophagus is a condition characterized by persistence of fetal-type epithelium and that our case represents such an occurrence.

Original languageEnglish (US)
Pages (from-to)546-548
Number of pages3
JournalArchives of Pathology and Laboratory Medicine
Volume105
Issue number10
StatePublished - Jan 1 1981

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

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