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食管上段胃黏膜异位症的研究近况

朱海杭 陈洁 卜平

中国内镜杂志2011,Vol.17Issue(10):1043-1046,1052,5.
中国内镜杂志2011,Vol.17Issue(10):1043-1046,1052,5.

食管上段胃黏膜异位症的研究近况

Advances in the study on heterotopic gastric mucosa in upper esophagus

朱海杭 1陈洁 1卜平1

作者信息

  • 1. 扬州大学临床医学院暨苏北人民医院消化内科,江苏扬州225001
  • 折叠

摘要

Abstract

Heterotopic gastric mucosa in the upper esophagus (HGMUE), referred as inlet patch, is frequently found during endoscopic examination. The endoscopic prevalence varies from 0.1% to 10%. The lesion is thought to be of congenital origin anomaly. It has the function of acid secretion. Helicobacter pylori (H. Pylori) may colonize in the mucosa. Most patients are asymptomatic. The symptom is no special and mild. In patients of large HGMUE, acid secretion capacity and H. Pylori may cause upper esophageal disorders. The complications resulting from the ectopic mucosa, such as bleeding, perforation, fistula, and stricture formation, and adenocarcinoma, have also been reported in individual. Asymptomatic patients do not require specific therapy, but endoscopic surveillance is still important. Only in the treatment of the symptomatic cases, acid suppression and ablation by argon plasma coagulation (APC) for reflux symptoms can be recommended.

关键词

食管上段胃黏膜异位/发病机制/临床表现/治疗

Key words

heterotopic gastric mucosa in upper esophagus/ pathogenesis/ clinical characteristics/ therapy

分类

医药卫生

引用本文复制引用

朱海杭,陈洁,卜平..食管上段胃黏膜异位症的研究近况[J].中国内镜杂志,2011,17(10):1043-1046,1052,5.

中国内镜杂志

OA北大核心CSCDCSTPCD

1007-1989

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