Esophageal Inlet Patch
An inlet patch is a congenital anomaly consisting of ectopic gastric mucosa at or just distal to the upper esophageal sphincter. Most inlet patches are largely asymptomatic, but in problematic cases complications related to acid secretion such as esophagitis, ulcer, web and stricture may occur. The...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/460890 |
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| _version_ | 1832568055903813632 |
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| author | C. Behrens Peggy P. W. Yen |
| author_facet | C. Behrens Peggy P. W. Yen |
| author_sort | C. Behrens |
| collection | DOAJ |
| description | An inlet patch is a congenital anomaly consisting of ectopic gastric mucosa at or just distal to the upper esophageal sphincter. Most inlet patches are largely asymptomatic, but in problematic cases complications related to acid secretion such as esophagitis, ulcer, web and stricture may occur. The diagnosis of inlet patch is strongly suggested on barium swallow where the most common pattern consists of two small indentations on the wall of the esophagus. The diagnosis of inlet patch is confirmed via endoscopy with biopsy. At endoscopy, the lesion appears salmon-coloured and velvety and is easily distinguished from the normal grey-white squamous epithelium of the esophagus. The prominent margins correlate with the radiological findings of indentations and rim-like shadows on barium swallow. Histopathology provides the definitive diagnosis by demonstrating gastric mucosa adjacent to normal esophageal mucosa. No treatment is required for asymptomatic inlet patches. Symptomatic cases are treated with proton pump inhibitors to relieve symptoms related to acid secretion. Strictures and webs are treated with serial dilatation and should be biopsied to rule out malignancy. |
| format | Article |
| id | doaj-art-18dd904859c8490388dd60adcd0df5e2 |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-18dd904859c8490388dd60adcd0df5e22025-02-03T00:59:49ZengWileyRadiology Research and Practice2090-19412090-195X2011-01-01201110.1155/2011/460890460890Esophageal Inlet PatchC. Behrens0Peggy P. W. Yen1Radiology Residency Program, University of British Columbia, Vancouver, BC, V6T 1Z4, CanadaRadiology Residency Program, Dalhousie University, Halifax, NS, B3H 4R2, CanadaAn inlet patch is a congenital anomaly consisting of ectopic gastric mucosa at or just distal to the upper esophageal sphincter. Most inlet patches are largely asymptomatic, but in problematic cases complications related to acid secretion such as esophagitis, ulcer, web and stricture may occur. The diagnosis of inlet patch is strongly suggested on barium swallow where the most common pattern consists of two small indentations on the wall of the esophagus. The diagnosis of inlet patch is confirmed via endoscopy with biopsy. At endoscopy, the lesion appears salmon-coloured and velvety and is easily distinguished from the normal grey-white squamous epithelium of the esophagus. The prominent margins correlate with the radiological findings of indentations and rim-like shadows on barium swallow. Histopathology provides the definitive diagnosis by demonstrating gastric mucosa adjacent to normal esophageal mucosa. No treatment is required for asymptomatic inlet patches. Symptomatic cases are treated with proton pump inhibitors to relieve symptoms related to acid secretion. Strictures and webs are treated with serial dilatation and should be biopsied to rule out malignancy.http://dx.doi.org/10.1155/2011/460890 |
| spellingShingle | C. Behrens Peggy P. W. Yen Esophageal Inlet Patch Radiology Research and Practice |
| title | Esophageal Inlet Patch |
| title_full | Esophageal Inlet Patch |
| title_fullStr | Esophageal Inlet Patch |
| title_full_unstemmed | Esophageal Inlet Patch |
| title_short | Esophageal Inlet Patch |
| title_sort | esophageal inlet patch |
| url | http://dx.doi.org/10.1155/2011/460890 |
| work_keys_str_mv | AT cbehrens esophagealinletpatch AT peggypwyen esophagealinletpatch |