Kratzsch K H, Fürstenau M, Büttner W
Z Gesamte Inn Med. 1977 Aug 1;32(15):371-4.
On the basis of 8 observations in 3,140 duodenoscopies is referred to the endoscopic picture of heterotopies of the gastric mucous membrane. The heterotopic mucous membrane of the stomach was found in polypoid rice-grain-sized to pea-sized lesions of the duodenum. The histological examination four times resulted in a mucous membrane of the stomach of corpus type, three times of antrum type and once only in foveolar epithelium. As to other findings endoscopically were twice observed erosions of the gastric mucous membrane or of the mucous membrane of the bulb, respectively, once an antrum polypus, in no case ulcers. Once an achlorhydria was present. A hyperchlorhydria was to be proved in no case. The clinical significance of the heterotopia of the gastric mucous membrane in the duodenum as well as the cause of its existence are discussed.
在3140例十二指肠镜检查中的8次观察基础上，提及胃黏膜异位的内镜图像。胃的异位黏膜见于十二指肠息肉样米粒大小至豌豆大小的病变中。组织学检查4次结果为胃体部黏膜，3次为胃窦部黏膜，仅1次为小凹上皮。关于其他内镜检查发现，分别有2次观察到胃黏膜或十二指肠球部黏膜糜烂，1次观察到胃窦息肉，未观察到溃疡。有1次存在胃酸缺乏。未证实有胃酸过多情况。讨论了十二指肠中胃黏膜异位的临床意义及其存在原因。
