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Gastroenterology. 2009 Aug;137(2):440-4. doi: 10.1053/j.gastro.2009.04.053. Epub 2009 May 4.
2
Inlet patch: associations with endoscopic findings in the upper gastrointestinal system.入口黏膜斑:与上消化道系统内镜检查结果的关联
Scand J Gastroenterol. 2008 Aug;43(8):910-4. doi: 10.1080/00365520801986619.
3
Argon plasma ablation of gastric inlet patches in the cervical esophagus may alleviate globus sensation: a pilot trial.氩等离子体消融治疗颈段食管胃入口斑块可能缓解咽部异物感:一项试点试验。
Endoscopy. 2006 Jun;38(6):566-70. doi: 10.1055/s-2006-925362.
4
Heterotopic gastric mucosa in the cervical esophagus (inlet patch): endoscopic prevalence, histological and clinical characteristics.宫颈段食管的异位胃黏膜(入口斑):内镜下患病率、组织学及临床特征
J Gastroenterol Hepatol. 2004 Aug;19(8):891-6. doi: 10.1111/j.1440-1746.2004.03474.x.
5
Heterotopic gastric mucosa of the esophagus: literature-review and proposal of a clinicopathologic classification.食管异位胃黏膜:文献综述及临床病理分类建议
Am J Gastroenterol. 2004 Mar;99(3):543-51. doi: 10.1111/j.1572-0241.2004.04082.x.
6
Inlet patch: prevalence, histologic type, and association with esophagitis, Barrett esophagus, and antritis.入口黏膜片:患病率、组织学类型及其与食管炎、巴雷特食管和胃窦炎的关联。
Arch Pathol Lab Med. 2004 Apr;128(4):444-7. doi: 10.5858/2004-128-444-IPPHTA.
7
Dysphagia due to a diaphragm-like localized narrowing in the lower esophagus (lower esophageal ring).因食管下段类似膈膜的局限性狭窄(食管下环)导致的吞咽困难。
Am J Roentgenol Radium Ther Nucl Med. 1953 Dec;70(6):911-22.
8
Gastric heterotopia in the proximal esophagus complicated by stricture.近端食管胃异位伴狭窄
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9
Adenocarcinoma of the upper esophagus arising in heterotopic gastric mucosa: common pathogenesis with Barrett's adenocarcinoma?异位胃黏膜中发生的食管上段腺癌:与巴雷特腺癌有共同的发病机制吗?
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与异位胃黏膜(胃入口斑)相关的高位食管蹼形成:一个小病例系列

High oesophageal web formation in association with heterotopic gastric mucosa (the gastric inlet patch): a small case series.

作者信息

Ainley Eric J

出版信息

Frontline Gastroenterol. 2011 Apr;2(2):117-123. doi: 10.1136/fg.2010.002311. Epub 2011 Jan 12.

DOI:10.1136/fg.2010.002311
PMID:28839593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5517204/
Abstract

BACKGROUND

Upper oesophageal webs or rings have rarely been reported in association with heterotopic gastric mucosa (HGM).

OBJECTIVE

To describe the finding of oesophageal webs in association with HGM.

DESIGN

Small case series.

SETTING

Patients presenting with dysphagia to an open access hospital dysphagia clinic.

PATIENTS

Six cases were found.

INTERVENTIONS

Symptomatic improvement is demonstrated with oesophageal dilatation in symptomatic patients.

MAIN OUTCOME MEASUREMENTS

Symptomatic improvement.

RESULTS

The six cases which are described here demonstrate that a web or ring exactly matches the distribution of the heterotopic mucosa, can occur at both proximal and distal squamo-columnar junctions and the inlet patches may be multiple with multiple rings. A radiological double web sign is described.

LIMITATIONS

A rare condition with a small number of patients.

CONCLUSIONS

Effective treatment can be by oesophageal dilatation and acid suppression. The cause of web formation is thought to be due to heterotopic acid production and is analogous to the Schatzki ring.

摘要

背景

上食管蹼或环与异位胃黏膜(HGM)相关的报道很少。

目的

描述与HGM相关的食管蹼的发现。

设计

小病例系列。

地点

在一家开放式医院吞咽困难诊所就诊的吞咽困难患者。

患者

发现6例。

干预措施

有症状的患者通过食管扩张症状得到改善。

主要观察指标

症状改善。

结果

这里描述的6例病例表明,蹼或环与异位黏膜的分布完全匹配,可发生在近端和远端鳞状柱状交界处,入口斑可能有多个且伴有多个环。描述了一种放射学双蹼征。

局限性

一种罕见疾病,患者数量少。

结论

有效的治疗方法可以是食管扩张和抑酸。蹼形成的原因被认为是由于异位酸的产生,类似于沙茨基环。