Heterotopic gastric mucosa in the upper esophagus after repair of atresia

Heterotopic gastric mucosa of the upper esophagus following repair of esophageal atresia with tracheoesophageal fistula

“…The presenting symptom of dysphagia in this case is similar to that described by de la Hunt et al [11]. In contrast to the report by de la Hunt et al, the patient described herein had evidence of esophageal dysmotility and GERD, further complicating the diagnosis.…”

Inlet Patch: Clinical Presentation and Outcome in Children

“…Emery et al (7) reported a higher IP frequency in children with a history of esophageal atresia (34%), similar to what we observed in 5 patients. De La Hunt et al (6) suggested that an IP can induce spasm, ulceration, or stricture at the site of the anastomosis, which could have significant implications for clinical management. In our study, the 5 children with esophageal atresia complained of dysphagia or food impaction without any esophageal stricture, even if it was not possible to prove the role of an IP in their symptoms.…”

“…Little is known about the clinical significance of an IP. Although most patients are asymptomatic (2,10,13), some may have digestive or supraesophageal symptoms (2,6,8,10,12,13,17). Macha et al (8) demonstrated a higher incidence of respiratory symptoms in children with IP (especially wheezing, asthma, and cough) than in a control group, and Poyrazoglu et al (12) reported a higher incidence of dysphagia in adults with an IP.…”

“…An IP is present in 0.3% to 10% of adults undergoing esophageal endoscopy, and some complications related to an IP have been reported (2)(3)(4)(5). The prevalence of IP in children is unknown, and only a few studies have addressed this issue in the pediatric population (1,(6)(7)(8)(9). The aim of this retrospective study was to assess the clinical significance, endoscopic and histological characteristics, and natural history of IP in children.…”

Recurrent gastrointestinal tract bleeding secondary to jejunal gastric heterotopia

“…Presentations include asymptomatic growth within the oral cavity [9], dysphagia from lesions in the upper esophagus [10], hemobilia and cholecystitis from lesions in the bile duct [11] and gallbladder [12], respectively, and bleeding from rectal lesions [13]. The presence of combined heterotopic gastric and pancreatic tissue has also been reported [14,15].…”