Research Article
Year 2019,
Volume: 9 Issue: 1, 119 - 122, 26.03.2019
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
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
Year 2019,
Volume: 9 Issue: 1, 119 - 122, 26.03.2019
Abstract
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
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Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 26, 2019 |
| Published in Issue | Year 2019 Volume: 9 Issue: 1 |
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