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Cervical inlet patch: new insights into diagnosis and endoscopic therapy
Radu Rusu1, Sauid Ishaq2, Terry Wong1
1Department of Gastroenterology, Guy's & St Thomas' Hospitals NHS Foundation Trust, London, UK.
Frontline Gastroenterology
|July 27, 2018
Summary
The cervical inlet patch (CIP), a common cause of globus sensation, may not respond to proton pump inhibitors. Radiofrequency ablation shows promise for treating this condition.
Area of Science:
- Gastroenterology
- Otolaryngology
Background:
- The cervical inlet patch (CIP) is heterotopic gastric mucosa in the proximal esophagus.
- It is increasingly recognized as a cause of chronic throat symptoms, notably globus sensation.
Purpose of the Study:
- This review aims to update knowledge on the investigation and management of the cervical inlet patch.
- It addresses the condition's role in globus sensation and current treatment strategies.
Main Methods:
- Literature review of studies on cervical inlet patch diagnosis and treatment.
- Focus on endoscopic findings and the efficacy of ablative techniques, particularly radiofrequency ablation (RFA).
Main Results:
- Proton pump inhibitors are often ineffective for CIP-related symptoms.
- Radiofrequency ablation demonstrates potential for reversing CIP to normal squamous mucosa.
- Symptomatic resolution has been observed following successful RFA treatment.
Conclusions:
- The cervical inlet patch is a significant contributor to globus sensation.
- Radiofrequency ablation offers a promising endoscopic treatment option for symptomatic CIP.
- Further research may refine RFA protocols for optimal patient outcomes.
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