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Esophageal Stricture: An Uncommon Complication of Cervical Inlet Patch
Akash Patel1, Adewale B Ajumobi1,2
1Eisenhower Health, Rancho Mirage, CA, USA.
Journal of Investigative Medicine High Impact Case Reports
|October 16, 2023
Summary
Cervical inlet patches (CIP), a rare esophageal condition, can cause reflux and dysphagia. This case highlights successful treatment of a CIP-induced stricture with esophageal dilation and acid suppression therapy, leading to symptom resolution.
Area of Science:
- Gastroenterology
- Esophageal Diseases
Background:
- Esophageal heterotopic gastric mucosal patches (HGMP), or cervical inlet patches (CIP), are uncommon mucosal anomalies in the proximal esophagus.
- CIP incidence in adults is estimated between 3% and 10%, often presenting as a salmon-colored patch.
- This condition is frequently underdiagnosed due to subtle or absent symptoms.
Observation:
- A 78-year-old male presented with laryngopharyngeal reflux and dysphagia.
- Esophagogastroduodenoscopy revealed a salmon-colored patch indicative of CIP, complicated by a stricture.
- Biopsy confirmed oxyntic-type mucosa, consistent with an inlet patch.
Findings:
- The patient underwent successful esophageal dilation to 18 mm without resistance.
- Histopathological examination confirmed the presence of an inlet patch.
Implications:
- CIP can lead to significant esophageal complications, including strictures.
- Management involving esophageal dilation and proton-pump inhibitors effectively resolved symptoms.
- This case underscores the importance of recognizing and managing CIP-related strictures.
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