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Incidence of heterotopic gastric mucosa in the upper oesophagus.

作者信息

Borhan-Manesh F, Farnum J B

机构信息

Department of Medicine & Pathology, East Tennessee State University, College of Medicine.

出版信息

Gut. 1991 Sep;32(9):968-72. doi: 10.1136/gut.32.9.968.

DOI:10.1136/gut.32.9.968
PMID:1916499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1379030/
Abstract

In a prospective study of the frequency and clinical importance of heterotopic gastric mucosa in the upper oesophagus, 634 consecutive veteran patients (98% male), undergoing endoscopy for various gastrointestinal complaints, were evaluated. Sixty four patients (10%) had heterotopic gastric mucosal patches varying in size from 0.2-0.3 cm to 3 x 4-5 cm often immediately below the upper oesophageal sphincter. Biopsies of these patches showed fundic type gastric mucosa with chief and parietal cells. The 10% prevalence is more than twice the highest reported prevalence rate of endoscopically detected patches in the upper oesophagus. The characteristic location of these patches at the sphincter area, their uniformly fundic type gastric mucosa, and their poor correlation with clinical and endoscopic evidence of gastro-oesophageal reflux support the hypothesis that they are congenital in nature.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/2b00b5060699/gut00590-0010-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/522ee25b8853/gut00590-0009-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/0ff9c0c54c7a/gut00590-0009-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/3ba226076aa3/gut00590-0009-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/df32edb71336/gut00590-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/7b8cd8f5eb4d/gut00590-0010-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/2b00b5060699/gut00590-0010-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/522ee25b8853/gut00590-0009-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/0ff9c0c54c7a/gut00590-0009-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/3ba226076aa3/gut00590-0009-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/df32edb71336/gut00590-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/7b8cd8f5eb4d/gut00590-0010-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1917/1379030/2b00b5060699/gut00590-0010-c.jpg

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本文引用的文献

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Adenocarcinoma of the upper end of the oesophagus arising from ectopic gastric epithelium.起源于异位胃上皮的食管上段腺癌。
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Esophageal Inlet Patch: Association with Barrett's Esophagus.食管入口补丁:与 Barrett 食管相关。
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Heterotopic Gastric Mucosa in the Proximal Esophagus: Prospective Study and Systematic Review on Relationships with Endoscopic Findings and Clinical Data.近端食管异位胃黏膜:关于其与内镜检查结果及临床数据关系的前瞻性研究与系统评价
Dysphagia. 2023 Apr;38(2):629-640. doi: 10.1007/s00455-022-10492-8. Epub 2022 Jul 9.
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Heterotopic Gastric Mucosa in Middle Esophagus Complicated with Esophageal Ulcers.食管中段异位胃黏膜并溃疡
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