The esophageal mucosa and submucosa: immunohistology in GERD and Barrett's esophagus

Ann N Y Acad Sci. 2013 Oct:1300:144-165. doi: 10.1111/nyas.12241.

Abstract

This paper presents commentaries on the microscopic morphology of esophageal squamous epithelium; the frequency of duplication of the muscularis mucosae (MM) in Barrett's esophagus (BE); the significance of multilayered epithelium; whether cells in the lamina propria reflect those in the epithelium; how stem cells are identified in the squamous esophagus; dilated intercellular spaces; the metastasizing potential of early carcinoma-dependent, molecular or immunohistochemical tests that improve diagnosis; the role of immunohistochemistry IHC in grading of neoplasia in Barrett's esophagus and defining the risk of progression to adenocarcinoma; the roles of CDX1 and CDX2 in squamous and cardiac mucosa; and the role of desmosomal cadherins and lectins in squamous and cardiac mucosa.

Keywords: dilated intercellular spaces; eosinophilic esophagitis; lamina propria; markers; multilayered epithelium; muscularis mucosae; transcription factors.

Publication types

  • Review

MeSH terms

  • Barrett Esophagus / diagnosis*
  • Barrett Esophagus / metabolism
  • Barrett Esophagus / pathology
  • Esophagus / metabolism*
  • Esophagus / pathology
  • Gastroesophageal Reflux / diagnosis*
  • Gastroesophageal Reflux / metabolism
  • Gastroesophageal Reflux / pathology
  • Humans
  • Immunohistochemistry
  • Mucous Membrane / metabolism
  • Mucous Membrane / pathology