High esophageal stricture: a complication of "inlet patch" mucosa.
ABSTRACT High esophageal stricture associated with a circumferential "inlet patch" of heterotopic gastric mucosa is reported in 2 patients. Biopsy specimens taken from the strictures demonstrated inflamed or ulcerated gastric fundal-type mucosa in both cases. Dilatation of the strictures followed by treatment with histamine H2-antagonists produced almost complete resolution of dysphagia in both patients.
SourceAvailable from: Rodrigo CastanoRevista Colombiana de Gastroenterologia 09/2004; 19(3):178-182.
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ABSTRACT: We report the case of a 21-yr-old woman who presented with a perforation of an upper esophageal ulcer on a patch of gastric-type mucosa. Despite surgical closure of the perforation and reinforcement with a pleuro-muscular flap the patient developed an esophageal leakage and died in the postoperative period. Heterotopic gastric mucosa in the upper esophagus is usually an asymptomatic abnormality, discovered incidentally during endoscopic studies carried out for some other reason; however, complications secondary to the inlet patch acid secreting capacity can arise, and this has to be kept in mind to elude life-threatening conditions.The American Journal of Gastroenterology 10/1999; 94(10):3047-3050. DOI:10.1016/S0002-9270(99)00514-6 · 9.21 Impact Factor
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