Radiofrequency ablation in patients with large cervical heterotopic gastric mucosa and globus sensation: Closing the treatment gap

2017 ◽  
Vol 30 (2) ◽  
pp. 212-218 ◽  
Author(s):  
Ivan Kristo ◽  
Erwin Rieder ◽  
Matthias Paireder ◽  
Katrin Schwameis ◽  
Gerd Jomrich ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Gastric Mucosa ◽  
Heterotopic Gastric Mucosa ◽  
Treatment Gap ◽  
Globus Sensation

scholarly journals Cervical inlet patch: new insights into diagnosis and endoscopic therapy

2017 ◽  
Vol 9 (3) ◽  
pp. 214-220 ◽  
Author(s):  
Radu Rusu ◽  
Sauid Ishaq ◽  
Terry Wong ◽  
Jason M Dunn
Keyword(s):  
Radiofrequency Ablation ◽  
Gastric Mucosa ◽  
Proton Pump Inhibitors ◽  
Proton Pump ◽  
Endoscopic Therapy ◽  
Heterotopic Gastric Mucosa ◽  
Squamous Mucosa ◽  
Inlet Patch ◽  
Ablative Techniques ◽  
Rome Iv

The cervical inlet patch is an island of heterotopic gastric mucosa, most commonly found in the proximal oesophagus. Its importance as a cause of throat symptoms has been recognised, particularly chronic globus sensation. This has led to a change in the Rome IV criteria for globus management, with emphasis on ruling out the condition. Proton pump inhibitors are often ineffective in resolving symptoms. Endoscopic studies on the use of ablative techniques, most recently radiofrequency ablation (RFA), have shown promise in reversing the CIP to mormal squamous mucosa, with subsequent symtpomatic resolution.The aim of this review is to update on the investigation and management of the CIP.

scholarly journals Symptomatic Heterotopic Gastric Mucosa in Distal Esophagus

2021 ◽  
Author(s):  
Avnish Kumar Seth ◽  
Mahesh Kumar Gupta ◽  
Gursimran Kaur ◽  
Priti Jain ◽  
Rinkesh Kumar Bansal
Keyword(s):  
Gastric Mucosa ◽  
Squamous Epithelium ◽  
Narrow Band Imaging ◽  
Distal Esophagus ◽  
Heterotopic Gastric Mucosa ◽  
Retrosternal Pain ◽  
Gastric Type ◽  
History Of ◽  
Mass Lesions

Abstract Introduction Heterotopic gastric mucosa (HGM) in esophagus is commonly noted as an inlet patch at endoscopy. We describe a rare patient with symptomatic distal esophageal HGM. Case Report A 40-year-old male presented with retrosternal pain and marked odynophagia for the last 4 weeks without any history of ingestion of antibiotics, foreign body, or corrosive. Endoscopy showed abrupt circumferential transition to salmon pink mucosa at 35 cm from incisors. From 35 to 41 cm, there were areas of polypoid edematous thickening with few superficial ulcers of 1 to 3 mm. Squamous epithelium was visualized at narrow band imaging from 41 cm to the Z-line at 43 cm with no hiatus hernia. Biopsy showed gastric-type mucosa with parietal cells without dysplasia. Serology for cytomegalovirus and human immunodeficiency virus was negative. He was managed with proton pump inhibitors (PPIs) and prokinetics and improved symptomatically. Follow-up endoscopy at 3 months demonstrated healing of ulcers with persistence of HGM and pseudopolyps. He remains well on maintenance with PPI at 1-year follow-up. Conclusion Symptomatic HGM in distal esophagus is rare and can be differentiated from Barrett’s esophagus histologically and by presence of squamous epithelium between HGM and stomach. Inflammatory mass lesions may develop and mimic esophageal malignancy. Symptoms are largely due to acid production and usually respond to PPI.

scholarly journals Heterotopic gastric mucosa in the gallbladder—a rare find

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Roberto Cunha ◽  
Rafaela Parreira ◽  
Rui Quintanilha ◽  
Vítor Carneiro ◽  
Armando Medeiros ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Tract ◽  
Gastric Mucosa ◽  
Histological Change ◽  
Heterotopic Gastric Mucosa ◽  
Gallbladder Polyp ◽  
Usual Location ◽  
Common Situation

Abstract It is universally known and accepted that the development of a certain type of tissue outside its usual location, like in the gastrointestinal tract, can occur. This is a relatively common situation in the upper region of the gastrointestinal tract. However, the development of gastric mucosa in the gallbladder is a rare find. The following is the case of a 22-year-old male with an 18 mm gallbladder polyp, who electively underwent a laparoscopic cholecystectomy, having been diagnosed at a histopathological level with heterotopic gastric mucosa in the gallbladder. This brief article also aims to provide a reflection on the possible evolution of neoplasms from this histological change, based on the doubts raised in literature.

Heterotopic gastric mucosa in the hilar bile duct mimicking hilar cholangiocarcinoma: report of a case

Surgery Today ◽  
2012 ◽  
Vol 43 (1) ◽  
pp. 91-95 ◽  
Author(s):  
Saburo Fukuda ◽  
Syoichiro Mukai ◽  
Seiichi Shimizu ◽  
Masatoshi Kouchi ◽  
Seiji Fujisaki ◽  
...  
Keyword(s):  
Bile Duct ◽  
Gastric Mucosa ◽  
Hilar Cholangiocarcinoma ◽  
Heterotopic Gastric Mucosa ◽  
Hilar Bile Duct

Prevalencia de mucosa gástrica heterotópica cervical y su relación con síntomas de reflujo gastroesofágico. Estudio observacional

2021 ◽  
Vol 51 (2) ◽  
Author(s):  
Natalia Marina Zeytuntsian ◽  
José Tawil ◽  
Ana Adet Caldelari ◽  
Álvaro Falzone ◽  
Patricio Sheridan ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Clinical Manifestations ◽  
Heterotopic Gastric Mucosa ◽  
Extraesophageal Reflux ◽  
Cross Sectional ◽  
Reflux Symptoms ◽  
Throat Clearing ◽  
Extraesophageal Symptoms ◽  
The Mean ◽  
Upper Gastrointestinal

Introduction. The heterotopic gastric mucosal patch or inlet patch is the presence of gastric columnar mucosa outside the stomach, most frequently located in the proximal esophagus. Its manifestations vary from esophageal and extraesophageal reflux symptoms to major complications, most of them being asymptomatic. Aim. To determine the prevalence of cervical heterotopic gastric mucosa in our environment and its association with esophageal and extraesophageal reflux symptoms. Material and methods. Prospective cross-sectional and observational study; consecutive patients who came to our institution between December 2018 and October 2019 for diagnostic upper gastrointestinal videoendoscopy were included, following a questionnaire on clinical manifestations. Results. A total of 1,408 patients were included. In 89 (6.3%), a cervical heterotopic gastric mucosal patch was described. The mean age of the patients without this condition was 54.6 and 55.5 in patients with it. The esophageal symptoms of gastroesophageal reflux (heartburn, regurgitation, and chest pain) in patients with cervical heterotopic gastric mucosa was observed in 40 (44.9% / p = 0.473), 12 (13.5% / p = 0.783) and 4 (4.5% / p = 0.199) patients respectively. The presence of extraesophageal symptoms (globus, chronic cough, dysphonia, and throat clearing) in patients with cervical heterotopic gastric mucosa was: 9 (10.1% / p = 0.011); 7 (7.9% / p = 0.155); 4 (4.5% / p = 0.458) and 9 (10.1% / p = 0.036) respectively. Conclusions. A statistically significant association was found between the presence of cervical heterotopic gastric mucosal patch and symptoms of globus (p = 0.011) and throat clearing (p = 0.036). It could be interpreted that this group of patients would benefit from the research and treatment of this condition with the intention of improving their symptoms.

Heterotopic Gastric Mucosa of the Tongue and the Oesophagus

ORL ◽  
1975 ◽  
Vol 37 (4) ◽  
pp. 244-254 ◽  
Author(s):  
M. Mela ◽  
A. Ferlito
Keyword(s):  
Gastric Mucosa ◽  
Heterotopic Gastric Mucosa

scholarly journals Cervical esophageal adenocarcinoma arising from heterotopic gastric mucosa, treated with endoscopic submucosal dissection

Endoscopy ◽  
2018 ◽  
Vol 51 (02) ◽  
pp. E28-E29 ◽  
Author(s):  
Yasuhiro Oono ◽  
Shinmura Kensuke ◽  
Yusuke Yoda ◽  
Keisuke Hori ◽  
Hiroaki Ikematsu ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Endoscopic Submucosal Dissection ◽  
Esophageal Adenocarcinoma ◽  
Heterotopic Gastric Mucosa ◽  
Submucosal Dissection
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