Heterotopic gastric mucosa is a congenital anomaly result from incomplete embryonic esophageal epithelialisation process. It consists of gastric mucosa that may occur throughout the gastrointestinal tract, although it is more common in the cervical esophagus.
During endoscopy, a 61-year-old man is found to have an inlet patch of hypertrophic mucosa. The mucosa is gastric in type. Which step is now recommended?
| A. | Yearly surveillance with multiple biopsies | |
| B. | Argon plasma coagulation with high-dose PPI therapy | |
| C. | No further tests | |
| D. | pH monitoring with proximal electrode placement check this article: Inlet patch: unusual endoscopic appearnce |
correct answer C
ReplyDeleteThe inlet patch is composed of gastric fundic or antral mucosa. It is not Barrett's-type metaplastic tissue. The patch may secrete acid and is rarely associated with a web, stricture, or ulcer. It may be infected with H. pylori. There are no data to indicate that ablation therapy is needed.
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ReplyDeleteGastroenterology