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Esophageal inlet patch: Difference between revisions

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| field = [[Gastroenterology]]
| field = [[Gastroenterology]]
| synonyms =
| synonyms =
| symptoms = [[Globus Sensation|Globus sensation]], [[sore throat]], [[heartburn]], [[difficulty swallowing]]
| symptoms =
| complications =
| complications =
| onset =
| onset =
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| causes =
| causes =
| risks =
| risks =
| diagnosis =
| diagnosis = [[Esophagogastroduodenoscopy]]
| differential =
| differential =
| prevention =
| prevention =
| treatment =
| treatment = Ablation with [[argon plasma coagulation]] or [[radiofrequency ablation]]
| medication =
| medication =
| prognosis =
| prognosis =
| frequency = 1 - 12%<ref name=Meining />
| frequency = 1 - 12%<ref name=Meining />
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}}
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'''Esophageal inlet patch''' or heterotopic gastric mucosa of the upper esophagus is one or more areas of tissue resembling stomach tissue which is found in the upper portion of the esophagus.
'''Esophageal inlet patch''' or heterotopic gastric mucosa of the upper esophagus is one or more areas of tissue resembling stomach tissue which is found in the upper portion of the esophagus.

==Etiology==
The development of an esophageal inlet patch may occur due to the misplacement of endoderm from the stomach early in development.<ref name=Meining />

==Signs and symptoms==
==Signs and symptoms==
Often esophageal inlet patches causes no symptoms; however, when present, symptoms may include difficulty swallowing ([[dysphagia]]), pain while swallowing ([[odynophagia]]), cough or [[Globus Sensation|globus sensation]].<ref name=Meining />
Often esophageal inlet patches causes no symptoms; however, when present, symptoms may include difficulty swallowing ([[dysphagia]]), pain while swallowing ([[odynophagia]]), cough or [[Globus Sensation|globus sensation]].<ref name=Meining />

Whether esophageal inlet patches may cause other symptoms, such as chronic cough, globus sensation, laryngitis is unclear.<ref name=Meining />


==Diagnosis==
==Diagnosis==
Esophageal inlet patches are diagnosed by upper endoscopy ([[esophagogastroduodenoscopy]] or EGD).


==Treatment==
==Treatment==
Often treatment for esophageal inlet patch is not necessary. However, when symptoms occur, treatment may consist of ablation.<ref name=Meining /> Ablation may be performed with [[argon plasma coagulation]] or [[radiofrequency ablation]].<ref name=Meining /> When performed by an experienced physician, side effects from ablation appear to be neglible.<ref name=Meining />

==Prognosis==


==Epidemiology==
==Epidemiology==

Revision as of 06:30, 17 October 2023

Esophageal inlet patch
SpecialtyGastroenterology
SymptomsGlobus sensation, sore throat, heartburn, difficulty swallowing
Diagnostic methodEsophagogastroduodenoscopy
TreatmentAblation with argon plasma coagulation or radiofrequency ablation
Frequency1 - 12%[1]

Esophageal inlet patch or heterotopic gastric mucosa of the upper esophagus is one or more areas of tissue resembling stomach tissue which is found in the upper portion of the esophagus.

Etiology

The development of an esophageal inlet patch may occur due to the misplacement of endoderm from the stomach early in development.[1]

Signs and symptoms

Often esophageal inlet patches causes no symptoms; however, when present, symptoms may include difficulty swallowing (dysphagia), pain while swallowing (odynophagia), cough or globus sensation.[1]

Whether esophageal inlet patches may cause other symptoms, such as chronic cough, globus sensation, laryngitis is unclear.[1]

Diagnosis

Esophageal inlet patches are diagnosed by upper endoscopy (esophagogastroduodenoscopy or EGD).

Treatment

Often treatment for esophageal inlet patch is not necessary. However, when symptoms occur, treatment may consist of ablation.[1] Ablation may be performed with argon plasma coagulation or radiofrequency ablation.[1] When performed by an experienced physician, side effects from ablation appear to be neglible.[1]

Epidemiology

The prevalence of esophageal inlet patch is between 1% and 12%.[1]

References

  1. ^ a b c d e f g h Meining, A; Bajbouj, M (December 2016). "Gastric inlet patches in the cervical esophagus: what they are, what they cause, and how they can be treated". Gastrointestinal endoscopy. 84 (6): 1027–1029. doi:10.1016/j.gie.2016.08.012. PMID 27855791.