Abstract

Research Article

Heterotopic Gastric Mucosa of the Proximal Esophagus: An Under recognized Entity

Sarhani Asmae*, Paupard Thierry, Ghani Sara, Salihoun Mouna and Kabbaj Nawal

Published: 05 February, 2020 | Volume 4 - Issue 1 | Pages: 001-005

Heterotopic gastric mucosa (HGM) is an islet of gastric mucosa within the esophageal mucosa. These lesions can sit throughout the digestive tract and rarely in the upper third of the esophagus. The pathophysiology of HGM remains poorly understood.

Our study aims to estimate the prevalence of HGM, clinical signs, endoscopic, microscopic aspects and different epidemiological factors associated.

All patients from a single endoscopy center with HGM of the upper third of the esophagus were included over a 5-month evaluation period. All lesions seen in endoscopy were confirmed by histological analysis.

The prevalence was 1.3% with a clear male predominance. 80% of patients were symptomatic and received medical treatment, clinical evolution was good. No case of dysplasia was identified and no complication was observed.

Due to insufficient data in the evolutionary literature, the management of HGM remains debated and could resemble that of Barett’s esophagus for monitoring and therapeutic management, particularly in the event of symptoms or dysplasia.

Read Full Article HTML DOI: 10.29328/journal.acgh.1001014 Cite this Article Read Full Article PDF

Keywords:

Heterotopic gastric mucosa; Proximal esophagus

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