Heterotopic Gastric Mucosa in Middle Esophagus Complicated with Esophageal Ulcers
-
- Kishimoto Kenichi
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Shibagaki Kotaro
- Department of Endoscopy, Shimane University Hospital, Japan
-
- Nonomura Saya
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Sumi Shohei
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Fukuda Naoki
- Fukuda Clinic, Japan
-
- Takahashi Yusuke
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Kotani Satoshi
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Okimoto Eiko
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Oshima Naoki
- Department of Endoscopy, Shimane University Hospital, Japan
-
- Kawashima Kousaku
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Ishimura Norihisa
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
-
- Ishihara Shunji
- Department of Gastroenterology, Faculty of Medicine, Shimane University, Japan
この論文をさがす
抄録
<p>Heterotopic gastric mucosa (HGM) of esophagus, primarily occurring in cervical esophagus, is usually asymptomatic. A healthy woman (mid-40s) with postprandial heartburn was diagnosed with middle esophageal HGM and esophageal ulcers by esophagogastroduodenoscopy. Using 8-channel pH monitoring, a sensor near the HGM area detected postprandial acid phase (pH 3-4), while areas adjacent to the proximal and distal sensors were neutral, suggesting acid secretion from the HGM. A biopsy showed fundic gland tissue expressing H+/K+-ATPase and pepsinogen-I. Oral vonoprazan improved the clinical symptoms and endoscopic findings. This is the first report using 8-channel pH monitoring to diagnose extremely rare middle esophageal HGM. </p>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 61 (18), 2735-2740, 2022-09-15
一般社団法人 日本内科学会