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Is cervical inlet patch important clinical problem?

Gurol Sahin1, Gokhan Adas2, Bora Koc2

  • 1Ethica Hospital, Department of Surgery/Istanbul, Turkey;

International Journal of Biomedical Science : IJBS
|July 15, 2014
PubMed
Summary

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Inlet Patch (IP), a form of heterotopic gastric mucosa, is found in 3.14% of patients undergoing upper endoscopy. Awareness of IP is crucial due to its association with reflux symptoms and potential for neoplastic transformation.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Pathology

Background:

  • Inlet Patch (IP) is heterotopic gastric mucosa in the proximal esophagus.
  • It is often overlooked but can be associated with symptoms and complications.

Purpose of the Study:

  • To determine the frequency of Inlet Patch (IP).
  • To investigate the association between IP and clinical symptoms.
  • To raise awareness of heterotopic gastric mucosa.

Main Methods:

  • Prospective case series involving upper gastrointestinal endoscopy.
  • Patients with laryngopharyngeal reflux symptoms were included.
  • Biopsies were taken from IP lesions and surrounding mucosa.

Main Results:

Keywords:
Cervical inlet patchendoscopyheterotopic gastric mucosa

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  • 3.14% prevalence of IP in 3907 endoscopies (123 cases).
  • Laryngopharyngeal reflux symptoms were most common in patients with IP.
  • Associated findings included chronic inflammation, esophagitis, and intestinal metaplasia.

Conclusions:

  • Inlet Patch is a frequent finding when endoscopists are aware of it.
  • IP carries a risk of neoplastic transformation.
  • Symptomatic patients require treatment, and potential complications must be considered.