Heterotopic gastric mucosa: a significant clinical entity.

Abstract:

OBJECTIVE:Despite the apparent lack of clinical interest in the inlet patches of heterotopic gastric mucosa (HGM) in the upper esophagus, the literature contains reports of complications associated with HGM. The aim of this study was to determine the prevalence and clinical importance of HGM in patients referred for upper gastrointestinal endoscopy (UGE). MATERIAL AND METHODS:A total of 1033 consecutive outpatients referred for UGE were prospectively evaluated. Clinical, endoscopic and histologic findings were analyzed and 24-h double-channel pH-metry was performed on 20 patients with HGM. RESULTS:Fifty-three patients (5.1%) had HGM lesions. Dysphagia was significantly more frequent in HGM patients (21% versus 4%; p<0.001). Five of the 20 patients who underwent pH-metry presented with acid secretion from HGMs. These five patients had inlet patches of greater size. CONCLUSIONS:HGMs of the upper esophagus are not infrequent, although generally small and asymptomatic. In cases of large HGMs, acid secretion capacity may cause upper esophageal disorders.

journal_name

Scand J Gastroenterol

authors

Baudet JS,Alarcón-Fernández O,Sánchez Del Río A,Aguirre-Jaime A,León-Gómez N

doi

10.1080/00365520600763094

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1398-404

issue

12

eissn

0036-5521

issn

1502-7708

pii

L45058T3J757Q64T

journal_volume

41

pub_type

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