Use of Magnifying Endoscopy to Identify Early Esophageal Adenocarcinoma in Ectopic Gastric Mucosa of the Cervical Esophagus

Yoshida, Takeshi; Shimizu, Yuichi; Kato, Mototsugu

doi:10.1016/j.cgh.2010.02.025

Cited by 17 publications

(10 citation statements)

References 14 publications

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“…The prevalence of HGM in this study (1.3%) was at the lower end of reported prevalence in other studies (0.1% -13.8%) [3]. The detection rate of HGM was much higher in prospective endoscopic examinations of the upper gastrointestinal tract compared to the rate in retrospective analyses [4,5].…”

Section: Discussioncontrasting

confidence: 63%

Heterotopic Gastric Mucosa of the Proximal Esophagus: An Under recognized Entity

Sarhani¹,

Paupard²,

Salihoun³

et al. 2020

Ann Clin Gastroenterol Hepatol

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Heterotopic gastric mucosa (HGM) is an islet of gastric mucosa within the esophageal mucosa. These lesions can sit throughout the digestive tract and rarely in the upper third of the esophagus. The pathophysiology of HGM remains poorly understood.Our study aims to estimate the prevalence of HGM, clinical signs, endoscopic, microscopic aspects and different epidemiological factors associated.All patients from a single endoscopy center with HGM of the upper third of the esophagus were included over a 5-month evaluation period. All lesions seen in endoscopy were confi rmed by histological analysis.The prevalence was 1.3% with a clear male predominance. 80% of patients were symptomatic and received medical treatment, clinical evolution was good. No case of dysplasia was identifi ed and no complication was observed.Due to insuffi cient data in the evolutionary literature, the management of HGM remains debated and could resemble that of Barett's esophagus for monitoring and therapeutic management, particularly in the event of symptoms or dysplasia. Results736 patients underwent gastroscopy during the study period of 5 months, HGM of the proximal esophagus was More Information

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Section: Discussioncontrasting

confidence: 63%

Heterotopic Gastric Mucosa of the Proximal Esophagus: An Under recognized Entity

Sarhani¹,

Paupard²,

Salihoun³

et al. 2020

Ann Clin Gastroenterol Hepatol

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“…CIP can be found in up to 11% of patients undergoing upper endoscopic procedures, and the majority of cases is free of symptoms and have no related symptoms [13,14]. In very few patients, in the literature only presented in form of case reports, complicated courses can develop out of CIP and may lead to a wide clinical spectrum ranging from ulcers, strictures, perforation, fistulas or at worst the development of adenocarcinomas in the esophagus [15,16,17,18]. In a feasibility study and a consecutive sham-controlled study we were able to show that an endoscopic ablation of inlet patches using argon plasma coagulation (APC) led to significant short-term symptom relief of globus sensation [10,19].…”

Section: Introductionmentioning

confidence: 99%

Argon Plasma Coagulation of Gastric Inlet Patches for the Treatment of Globus Sensation: It Is an Effective Therapy in the Long Term

Klare¹,

Meining²,

Delius³

et al. 2013

Digestion

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Aim: To determine the long-term effect of argon plasma coagulation (APC) of gastric inlet patches in the cervical esophagus for patients suffering from globus sensation. Methods: We intended to follow up all patients between 2004 and 2011 (n = 49) who received argon plasma ablation of gastric inlet patches for globus sensation at our clinic. Symptoms were assessed by a visual analogue scale (VAS) in 31 of 49 patients. Follow-up endoscopy of the upper gastrointestinal tract was performed to confirm residual or relapsed cervical inlet patches. Results: After a median period of 27 months, APC was assessed as a successful therapy in 23 of 31 patients (74%). VAS scores decreased significantly from 7.6 to 4.0 in the long term. Twenty-two of 31 patients were willing to undergo follow-up endoscopy. Endoscopy revealed recurrent/residual gastric inlet patches after APC in 11 of 22 cases. These patients suffered from a significant relapse of symptoms in the postinterventional period (p < 0.001). Conclusion: This retrospective study indicates that APC of gastric inlet patches for the treatment of globus sensation might be a sufficient therapy option. Recurrences or residual heterotopic gastric mucosa are possible and seem to be associated with a relapse of symptoms. Therefore, endoscopic follow-up and retreatment might be necessary if globus sensation is not sufficiently eliminated.

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“…Ectopic pancreatic tissue was also reported to occur concurrently with EDC [10]. Similar to native gastric mucosa, ectopic counterparts are still subject to the risk of malignant transformation [25]. …”

Section: Discussionmentioning

confidence: 99%

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

Zhang

Feng

et al. 2013

J Cardiothorac Surg

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Esophageal duplication cyst (EDC) is a congenital malformation of the posterior primitive foregut, which mainly occurs in the thoracic esophagus. Here, we describe a 3-year-old Han Chinese boy afflicted with intermittent fever of acute onset and dry cough. Thoracic computed tomography revealed an 10 cm × 5.4 cm × 5.8 cm oval-shaped, cyst-like tumor located in the extrapleural space, extending along the right paravertebral gutter and compressing the trachea forward. An additional small-sized, oval-shaped cyst was identified in the posterior mediastinum, between the esophagus and the spinal column, at the T1 level. During open thoracotomy, under general anesthesia, an opaque, thick-walled, esophageal cyst was revealed not to be in communication with the esophageal lumen or the trachea. This cyst was subsequently resected in an en bloc manner. The small (1-cm) esophageal cyst was left untreated based on a “wait-and-see” policy. Histological analysis showed that the resected cyst was walled by hyperplastic, fibrous tissues and locally lined with gastric mucosa inherent glands. This finding was consistent with a diagnosis of EDC, with ectopic gastric mucosa. The respiratory tract symptoms resolved immediately after the operation. Computed tomography obtained at the 6-month follow-up showed that no disease, residual or recurrence, was present after the resection of the large-sized cyst, and the small-sized cyst remained unchanged in size.

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Use of Magnifying Endoscopy to Identify Early Esophageal Adenocarcinoma in Ectopic Gastric Mucosa of the Cervical Esophagus

Cited by 17 publications

References 14 publications

Heterotopic Gastric Mucosa of the Proximal Esophagus: An Under recognized Entity

Heterotopic Gastric Mucosa of the Proximal Esophagus: An Under recognized Entity

Argon Plasma Coagulation of Gastric Inlet Patches for the Treatment of Globus Sensation: It Is an Effective Therapy in the Long Term

Double esophageal duplication cysts, with ectopic gastric mucosa: a case report

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