AI Article Synopsis
- - A small case series identified six patients with upper oesophageal webs linked to heterotopic gastric mucosa (HGM) at a dysphagia clinic, suggesting a rare but noteworthy association.
- - Oesophageal dilatation showed significant symptomatic improvement in patients, indicating a potential treatment approach for this condition.
- - The study highlights that webs or rings may align with areas of HGM and can occur at various junctions in the esophagus, but the overall rarity of such cases limits broader conclusions.
Article 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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5517204 | PMC |
| http://dx.doi.org/10.1136/fg.2010.002311 | DOI Listing |
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