Issues and controversies in esophageal inlet patch |
| |
Authors: | Adriana Ciocalteu Petrica Popa Mircea Ionescu Dan Ionut Gheonea |
| |
Institution: | Adriana Ciocalteu, Petrica Popa, Dan Ionut Gheonea, Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova 200349, RomaniaMircea Ionescu, Department of Anesthesiology and Intensive Care, Emergency County Hospital of Craiova, Craiova 200642, Romania |
| |
Abstract: | The proximal esophagus is rarely examined, and its inspection is often inadequate.Optical chromoendoscopy techniques such as narrow band imaging improve the detection rate of inlet patches in the proximal esophagus, a region in which their prevalence is likely underestimated.Various studies have reported correlations between these esophageal marks with different issues such as Barrett's esophagus, but these findings remain controversial.Conflicting reports complicate the process of interpreting the clinical features of esophageal inlet patches and underestimate their importance.Unfortunately, the limited clinical data and statistical analyses make reaching any conclusions difficult.It is hypothesized that inlet patches are correlated with various esophageal and extraesophageal symptoms, diagnoses and the personalized therapeutic management of patients with inlet patches as well as the differential diagnosis for premalignant lesions or early cancers.Due to its potential underdiagnosis, there are no consensus guidelines for the management and follow up of inlet patches.This review focuses on questions that were raised from published literature on esophageal inlet patches in adults. |
| |
Keywords: | Inlet patch Ectopic gastric mucosa Heterotopic gastric mucosa Esophageal cancer Narrow band imaging Optical chromoendoscopy Cervical esophagus Functional dyspepsia Barrett’s esophagus Helicobacter pylori |
本文献已被 CNKI 维普 等数据库收录! |
| 点击此处可从《世界胃肠病学杂志(英文版)》浏览原始摘要信息 |
|