Journals / Bozok Tıp Dergisi / 2019 / Cilt: 9 - Sayı: 1

Prevalence and Clinical Importance of Inlet Patch

İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ

Pages
119–122
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Inlet Patch is a rare anomaly, and it should be kept in mind when performing EGD with the cause of dispeptic complaints.

📌 3 Key Takeaways

🎯
Objective & Hypothesis: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.
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Key Findings & Data: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.
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Conclusion & Impact:Conclusion: Inlet Patch is a rare anomaly, and it should be kept in mind when performing EGD with the cause of dispeptic complaints.
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

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.

Özet

Amaç: Bu retrospektif çalışmada inlet patch (IP) sıklığını belirlemek, makroskopik ve histolojiközelliklerini tanımlamak, demografik ve klinik özelliklerini değerlendirmek amaçlanmıştır.Gereç ve yöntemler: Aralık 2017 –Eylül 2018 tarihleri arasında dispeptik şikayetler ile genel cer-rahi endoskopi ünitesinde özofagogastroduodenoskopi (ÖGD) yapılan ardışık 459 hastanın en-doskopi ve patoloji sonuçları etik kurul onamı alındıktan sonra retrospektif olarak incelendi. IPsaptanan hastaların klinik, histopatolojik ve demografik verileri kaydedildi.Bulgular: Çalışmada ÖGD yapılan 459 hastanın 13’ünde (%2.8) IP tespit edildi. Lezyonların özofa-gustaki 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 hasta-larda akılda tutulması gereken bir antitedir.

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Cite This Article

ARSLAN, E., TALİH, G., AYTEKİN, B., DİNÇ, S., TALİH, T. (2022). Prevalence and Clinical Importance of Inlet Patch. Bozok Tıp Dergisi, Cilt: 9 - Sayı: 1, 119–122. https://ajindex.com/articles/468578

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References (11)

  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 Chong VH. Heterotopic gastric mucosal patch of the proximal esophagus. In: Pascu O, editor. Gastrointestinal Endoscopy. Croatia: InTech Publishing. 2011: 125-48
  2. Borhan-Manesh F, Farnum JB. Incidence of heterotopic gastric mucosa in the upper oesophagus. Gut 1991; 32: 968-72
  3. 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
  4. Meining A, Bajbouj M. Erupted cysts in the cervical esophagus result in gastric inlet patches. Gastrointest Endosc. 2010; 72: 603-5
  5. Behrens C, Yen PP. Esophageal inlet patch. Radiol Res Pract. 2011;2011:460890 Waring JP, Wo JM. Cervical esophageal web caused by an inlet patch of gastric mucosa. South. Med. J. 1997; 90: 554–5
  6. 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
  7. Kohler B, Kohler G, Riemann JF. Spontaneous esophageal fistula resulting from ulcer in heterotopic gastric mucosa. Gastroenterol- ogy. 1988; 95: 828–30
  8. 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 Rodríguez-Martínez Alejandro, Salazar-Quero J C, Tutau-Gómez C, Espín-Jaime B, Rubio-Murillo M, Pizarro-Martín A. "Heterotopic gastric mucosa of the proximal oesophagus (inlet patch): endoscop- ic prevalence, histological and clinical characteristics in paediatric patients." European journal of gastroenterology & hepatology. 2014; 1139-4
  9. Truong LD, Stroehlein JR, Mc Kechnie JC. Gastric heterotopia of the proximal esophagus and review of literature. Am J Gastroen- terol. 1986; 81:1162-6
  10. Bogomoletz WV, Geboes K, Feydy P, Nasca S, Ectors N, Rigaud C. Mucin histochemistry of heterotopic gastric mucosa of the upper esophagus in adults: possible pathogenic implications. Hum Pathol. 1988; 19:1301-6
  11. Rattner HM, McKinley MJ. Heterotopic gastric mucosa of the upper esophagus. Gastroenterology. 1986; 90:1309 Akbayır N, Alkim C, Erdem L, Sökmen H M, Sungun A, Başak T, et al. Heterotopic gastric mucosa in the servical esophagus