Year 2019 / Volume 111 / Number 9
Digestive Diseases Image
A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa

712-713

DOI: 10.17235/reed.2019.6134/2018

Haihua Wang, Yuyong Tan, Deliang Liu,

Abstract
To the best of our knowledge, this is the first report of ectopic gastric mucosa appearing between muscularis mucosae and submucosa, at esophagogastric junction. Currently there are two theories explaining the mechanism. The most widely accepted one is that Ectopic gastric mucosa is an embryological remnant, and an alternative theory is abnormal proliferation under inflammation1.Although we don’t have many evidences to clarify this case into specific mechanism mentioned above, Nomura et reported two cases of Adenocarcinoma of the cervical esophagus arising from ectopic gastric mucosa, Completely resected by ESD with no signs of recurrence2. Therefore, In this present case, the lesion was successfully managed with ESD. The symptoms were released after the operation and the patient remained well during a year follow-up. Long-term follow-up is recommended in case of recurrence or gastric cancer.
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References
1. Riddiough, G.E., Hornby, S.T., Asadi, K., et al., Gastric adenocarinoma of the upper oesophagus: A literature review and case report. Int J Surg Case Rep, 2017. 30: p. 205-214(DOI: 10.1016/j.ijscr.2016.11.014)
2. Nomura, K., Iizuka, T., Inoshita, N., et al., Adenocarcinoma of the cervical esophagus arising from ectopic gastric mucosa: report of two cases and review of the literature. Clin J Gastroenterol, 2015. 8(6): p. 367-76(DOI: 10.1007/s12328-015-0610-y)
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Wang H, Tan Y, Liu D. A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa . 6134/2018


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Publication history

Received: 19/12/2018

Accepted: 07/01/2019

Online First: 01/08/2019

Published: 05/09/2019

Article revision time: 9 days

Article Online First time: 225 days

Article editing time: 260 days


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