TWO CASES OF COLUMNAR LINED ESOPHAGUS

Abstract

This paper reports two cases of columnar lined esophagus successfully diagnosed by X-ray examination and endoscopy with biopsy. A special reference to the association of ref lux esophagitis is added. Case 1 was an 80-year-old female. She had a sliding hiatal hernia and stricture at the lower part of mid-esophagus. An endoscopic diagnosis of columnar lined esophagus was confirmed by biopsy which showed columnar epithelia with goblet cell and reflux esophagitis in slight degree. Case 2 was a 55-year-old male. Endoscopy revealed severe reflux esophagitis with erosion after total gastrectomy The biopsy specimen from the esophagus showed columnar epithelia similar to those in the small intestine. Both cases had reflux esophatitis as mentioned above and may suggest some relationship between the appearance of columnar epithelium in the esophagus and reflux esophagitis, though the severity of esophagitis was not necessarilly correlated to the extent of columnar lined esophagus.