İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch

Tutkun Talih; Gamze Talih; Ergin Arslan; Soykan Dinç; Betül Aytekin

doi:10.16919/bozoktip.461730

İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch

Abstract

ÖZET

Amaç: Bu retrospektif çalışmada inlet patch (IP) sıklığını belirlemek, makroskopik ve histolojik

özelliklerini tanımlamak, demografik ve klinik özelliklerini değerlendirmek amaçlanmıştır.

Gereç ve yöntemler: Aralık 2017 –Eylül 2018 tarihleri arasında dispeptik şikayetler ile genel cerrahi

endoskopi ünitesinde özofagogastroduodenoskopi (ÖGD) yapılan ardışık 459 hastanın endoskopi

ve patoloji sonuçları etik kurul onamı alındıktan sonra retrospektif olarak incelendi. IP

saptanan hastaların klinik, histopatolojik ve demografik verileri kaydedildi.

Bulgular: Çalışmada ÖGD yapılan 459 hastanın 13’ünde (%2.8) IP tespit edildi. Lezyonların özofagustaki

yerleşimleri 16-20. cm ‘ler arasında idi ve boyutları 0,3 cm ile 2 cm arasında değişiyordu.

Histopatolojik değerlendirmede dört (%30.8) hastada antral tip gastrik mukoza izlenirken, dokuz

(%69,2 ) hastada ise fundik tip gastrik mukoza içerdiği görüldü.

Sonuç: Nadir görülen bir anomali olan IP dispeptik şikayetler nedeni ile ÖGD uygulanacak hastalarda

akılda tutulması gereken bir antitedir.

Anahtar Sözcükler: İnlet patch; Heterotopik gastrik mukoza; Endoskopik prevelans

ABSTRACT

Objective: We aimed to determine the Inlet Patch’s (IP) prevalence, macroscopic and histological

features and to evaluate the demographic and clinical features in this retrospective study.

Material and Method: Endoscopy and pathology results of 459 consecutive patients who

underwent esophagogastroduodenoscopy (EGD) in our study between December 2017 and

September 2018 were investigated retrospectively after receiving the ethics committee

confirmation. Clinical, histopathological and demographic data of patients with IP were recorded.

Results: İnlet Patch was found in 13 of 459 patients who underwent EGD. The endoscopic

prevalence was calculated as 2.83%. Locations of esophagus 16-20. cm and ranged from 0.3 cm to

2 cm in size. Histopathological evaluation showed that antral type gastric mucosa in four patients

(30.76%) and fundic type gastric mucosa in nine patients (69.24%).

Conclusion: Inlet Patch is a rare anomaly, and it should be kept in mind when performing EGD with

the cause of dispeptic complaints.

Keywords: İnlet patch; Heterotopic gastric mucosa; Endoscopic prevalence

Keywords

İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch

References

1. Von Rahden BH, Stein HJ, Becker K, Liebermann-Meffert D, Siewert JR. Heterotopic gastric mucosa of the esophagus: literature-review and proposal of a clinicopathologic classification. Am J Gastroenterol. 2004;99:543-51 2. Chong VH. Heterotopic gastric mucosal patch of the proximal esophagus. In: Pascu O, editor. Gastrointestinal Endoscopy. Croatia: InTech Publishing. 2011: 125-48 3. Borhan-Manesh F, Farnum JB. Incidence of heterotopic gastric mucosa in the upper oesophagus. Gut 1991; 32: 968-72 4. PM Avidan B, Sonnenberg A, Chejfec G, Schnell TG, Sontag SJ. Is there a link between cervical inlet patch and Barrett’ s esophagus? Gastrointest Endosc. 2001; 53: 717-21 5. Meining A, Bajbouj M. Erupted cysts in the cervical esophagus result in gastric inlet patches. Gastrointest Endosc. 2010; 72: 603-5 6. Behrens C, Yen PP. Esophageal inlet patch. Radiol Res Pract. 2011;2011:460890 7. Waring JP, Wo JM. Cervical esophageal web caused by an inlet patch of gastric mucosa. South. Med. J. 1997; 90: 554–5 8. Sanchez-Pernaute A, Hernando F, Diez-Valladares L, González O, Aguirre E P, Furió V, et al. Heterotopic gastric mucosa in the upper esophagus (‘inlet patch’): a rare cause of esophageal perforation. Am. J. Gastroenterol. 1999; 94: 3047–50 9. Kohler B, Kohler G, Riemann JF. Spontaneous esophageal fistula resulting from ulcer in heterotopic gastric mucosa. Gastroenterology. 1988; 95: 828–30 10. Noguchi T, Takeno S, Takahashi Y, Sato T, Uchida Y, Yokoyama S. Primary adenocarcinoma of the cervical esophagus arising from heterotopic gastric mucosa. J. Gastroenterol. 2001; 36: 704–9

Details

Primary Language

Turkish

Subjects

-

Journal Section

Research Article

Authors

Tutkun Talih

Gamze Talih This is me

Ergin Arslan This is me

Soykan Dinç This is me

Betül Aytekin This is me

Publication Date

March 26, 2019

Submission Date

March 1, 2019

Acceptance Date

-

Published in Issue

Year 2019 Volume: 9 Number: 1

DOI

https://doi.org/10.16919/bozoktip.461730

IZ

https://izlik.org/JA32RR77JR

Cite

RIS / Bibtex

APA

Talih, T., Talih, G., Arslan, E., Dinç, S., & Aytekin, B. (2019). İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi, 9(1), 119-122. https://doi.org/10.16919/bozoktip.461730

AMA

1.Talih T, Talih G, Arslan E, Dinç S, Aytekin B. İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi. 2019;9(1):119-122. doi:10.16919/bozoktip.461730

Chicago

Talih, Tutkun, Gamze Talih, Ergin Arslan, Soykan Dinç, and Betül Aytekin. 2019. “İNLET PATCH SIKLIĞI Ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch”. Bozok Tıp Dergisi 9 (1): 119-22. https://doi.org/10.16919/bozoktip.461730.

EndNote

Talih T, Talih G, Arslan E, Dinç S, Aytekin B (March 1, 2019) İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi 9 1 119–122.

IEEE

[1]T. Talih, G. Talih, E. Arslan, S. Dinç, and B. Aytekin, “İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch”, Bozok Tıp Dergisi, vol. 9, no. 1, pp. 119–122, Mar. 2019, doi: 10.16919/bozoktip.461730.

ISNAD

Talih, Tutkun - Talih, Gamze - Arslan, Ergin - Dinç, Soykan - Aytekin, Betül. “İNLET PATCH SIKLIĞI Ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch”. Bozok Tıp Dergisi 9/1 (March 1, 2019): 119-122. https://doi.org/10.16919/bozoktip.461730.

JAMA

1.Talih T, Talih G, Arslan E, Dinç S, Aytekin B. İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi. 2019;9:119–122.

MLA

Talih, Tutkun, et al. “İNLET PATCH SIKLIĞI Ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch”. Bozok Tıp Dergisi, vol. 9, no. 1, Mar. 2019, pp. 119-22, doi:10.16919/bozoktip.461730.

Vancouver

1.Tutkun Talih, Gamze Talih, Ergin Arslan, Soykan Dinç, Betül Aytekin. İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi. 2019 Mar. 1;9(1):119-22. doi:10.16919/bozoktip.461730