Primary Motility  Disorders of the  Esophagus
 The Esophageal
 Mucosa
 The
 Esophagogastric  Junction
 Barrett's
 Esophagus

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H.D. Appelman

The Esophageal Mucosa / Mucosa and histology

Is the presence of specialized epithelium necessary for the diagnosis of Barrett's esophagus?
H.D. Appelman (Ann Arbor)

The Esophageal Mucosa / Mucosa and histology

Apart from the specialized mucosal type, how can Barrett's mucosa be distinguished from the normal cardia mucosa?
H.D. Appelman (Ann Arbor)

The Esophageal Mucosa / The adenocarcinomatous mucosa

What are the minimal criteria for the biopsy diagnosis of well-differentiated adenocarcinomas?
H.D. Appelman (Ann Arbor)

The Esophageal Mucosa / The adenocarcinomatous mucosa

What is the histologic differential diagnosis for Barrett's carcinoma?
H.D. Appelman (Ann Arbor)

Primary Motility Disorders of the Esophagus / Achalasia (hypomotility) is the best known entity

Do the nerve alterations point to a neurogenic pathogenesis ?
H.D. Appelman (Ann Arbor)

Primary Motility Disorders of the Esophagus / Achalasia (hypomotility) is the best known entity

What are the morphologic expressions of achalasia in the esophagus and what are its morphologic complications ?
H.D. Appelman (Ann Arbor)

Primary Motility Disorders of the Esophagus / Achalasia (hypomotility) is the best known entity

Is the role of defective extrinsic and intrinsic innervation established ?
H.D. Appelman (Ann Arbor)

Primary Motility Disorders of the Esophagus / Diffuse esophageal spasms (Corkscrew esophagus)

What are the histologic features of diffuse esophageal spasm (DES) ?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Esophageal columnar metaplasia (Barrett s esophagus)

What is the value of brush cytology in the diagnosis of non-dysplastic Barrett's esophagus?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Adenocarcinomas at the EGJ

Do all adenocarcinomas at or near the esophagogastric junction have the same epidemiologic characteristics?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Adenocarcinomas at the EGJ

Are there minimal criteria for the confident or unequivocal diagnosis of invasive carcinoma in the lamina propria both in Barrett's mucosa and in squamous mucosa?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Adenocarcinomas at the EGJ

Can adenocarcinomas of the cardia and short segment of Barrett's mucosa be differentiated morphologically?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Achalasia

What is the aspect of ganglion cells in the proximal stomach, that is, are the ganglion cells in the cardia in achalasia normal or not?
H.D. Appelman (Ann Arbor)

The Esophagogastric Junction / Achalasia

What is the histologic natural history of achalasia?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Etiology and origins of Barrett's epithelium

Is cardiac mucosa normal or is it metaplastic?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Diagnosis

What is the cause and significance of intestinal metaplasia distal to the Z-line?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Diagnosis

What is the correlation between foveolar hyperplasia in the cardia and Barrett's esophagus?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Short Barrett's esophagus

Barrett's esophagus is a family of metaplasias: are there genetic markers that correlate with different cell types in Barrett's metaplasia?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Dysplasia

Are there specific morphometric features, particularly architectural, that correlate with different grades of dysplasia?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Screening and surveillance

Do the current data support that an endoscopic-biopsy surveillance program prevents or does not prevent cancer in Barrett's mucosa?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Adenocarcinomas

What is the acceptable definition of cardiac carcinoma?
H.D. Appelman (Ann Arbor)

Barrett's Esophagus / Adenocarcinomas

What are the histologic criteria for the diagnosis of incipient invasion in Barrett's mucosa with high-grade dysplasia?
H.D. Appelman (Ann Arbor)


Barrett's Esophagus / The definition of Barrett's esophagus

Consensus of a Panel at the end of the 6th OESO World Congress
A. Watson (Chairman), R.E. Sampliner, H.D. Appelman, S.J. Spechler, N.A. Shepherd

Barrett's Esophagus / Diagnosis

What is the meaning of "mosaic" sucrase-isomaltase staining found in Barrett's epithelium?
D.G. Beer, H.D. Appelman (Ann Arbor)