解放军医药杂志Issue(6)：75-77,3.DOI:10.3969/j.issn.2095-140X.2014.06.020
胃黏膜异位64例临床病理特点分析
Analysis of the Clinical and Pathological Features of 64 Patients with Heterotopic Gastric Mucosa
刘新尧 1王晓辉 1闫志辉 1李超 1崔立红1
作者信息
摘要
Abstract
Objective To analyze the clinical and pathological features of the heterotopic gastric mucosa ( HGM) . Methods Clinical data of 64 HGM patients confirmed by pathological examination after being hinted by gas-troscopy from 2011 to 2013 was retrospectively analyzed. Results The HGM detection rate was 0. 57%, and male-fe-male ratio was 2. 37∶ 1 with mean (49. 83 ± 12. 79) years of age. Citrus red areas of round or ellipse were found under endoscopes in 32 patients with esophageal HGM, which were clearly distinguished with the esophageal squamous epitheli-um;Hp (Helicobacter pylori) infection was found in 6 patients (18. 8%). All the 32 patients with duodenal HGM were located in duodenal bulb with single round basilar part of sessile polypoid eminentia, among whom one patient (3. 1%) had Hp infection. It could be divided into typeⅠ and Ⅱ according to the gastric gland existence, and the typeⅠ was common. TypeⅠwas found in 25 esophageal HGM patients (78. 1%) and 23 duodenal HGM patients (71. 9%). Intes-tinal metaplasia was found both in esophageal and duodenal type Ⅱ HGM patients. Conclusion The detection rate of the heterotopic gastric mucosa is low, and clinicians should pay more attention to diagnosis and take biopsy for suspicious sites to confirm the final diagnosis.关键词
胃黏膜异位/病理学,临床/内窥镜检查,胃肠道Key words
Heterotopic gastric mucosa/Pathology, clinical/Endoscopy, gastrointestinal分类
医药卫生引用本文复制引用
刘新尧,王晓辉,闫志辉,李超,崔立红..胃黏膜异位64例临床病理特点分析[J].解放军医药杂志,2014,(6):75-77,3.
