the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: November 2003

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The Old Endoscopy Quiz (and Answer) of the Month
November 2003

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Question:

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This middle aged lady had suffered from some chest pain for several years. A coronary arteriogram was normal and she came to an upper endoscopy to exclude disorders in her oesophagus that could cause her symptoms. This video shows the oesophagus. What is this finding - not so unusual and certainly not contributing much to the symtomatology?

Answer

    An Oesophageal Inlet Patch

An inlet patch is a small area of heterotopic gastric epithelium in the cervical part of the oesophagus. This finding is common, about 2-4 % of all patients undergoing upper endoscopi have an inlet patch. The finding is considered clinically insignificant, the patch does not cause any symptoms, and there is no risk of cancer. A coincidence of Barrett oesophagus and inlet patch has been found, suggesting some kind of shared embryonic etiology.

Answers and comments were emailed by

    U Cuartas, Augusta, USA
    Massimo Picasso, Sanremo, Italy

Comments:

    Hyvät sivut. Poika joutui eilen sairaalaan divertikkelitaudin vuoksi. Täältä sain nopeasti tietoa taudista. Kiitos