Agustos 2021
Özofageal inlet patch: Hastalarin demografik ve endoskopik karakteristikleri ve litaratürün gözden geçirilmesi
Esophageal inlet patch: Demographic and endoscopic characteristics of patients and review of the literature
- Ana Sayfa
- Sayılar
- Agustos 2021
- Özofageal inlet patch: Hastalarin demografik ve endoskopik karakteristikleri ve litaratürün gözden geçirilmesi...
Özet
Giris ve Amaç: Özofageal inlet patch yutkunma zorlugunda, laringofarengeal reflü semptomlarinda ve nadir de olsa proksimal özofagus adenokarsinom etiyolojisinde önemlidir. Amacimiz endoskopik de- gerlendirme sirasinda özofageal inlet patch tespit ettigimiz hastalarin endoskopik ve demografik özelliklerini degerlendirmek ve literatürle karsilastirmakti. Gereç ve Yöntem: Ocak 2017-Ocak 2021 tarihleri arasinda üst gastrointestinal endoskopik degerlendirmede özofagusta inlet patch saptanan hastalarin yas, cinsiyet, inlet patch boyutlari ve sayisi ile hastalarda saptanan diger endoskopik bulgulari degerlendirdik. Bulgular: Toplam 53 hastanin 36’si (%68) kadindi. Yas ortalamasi 46.3 ± 15.8, deger araligi (19-83) yildi. Hastalarin 13’ü inlet patch tanisi açisindan semptomatikti. Özofageal inlet patch median boyutlari kadinlarda 7.0 mm, deger araligi (4-30) iken; erkeklerde 8 mm, deger araligini (5- 20) saptadik. Her iki cinsiyette median inlet patch sayisi 1, deger araligi kadinlarda 1-3, erkeklerde 1-2 idi. Hastalarin 30’unda (%56.6) forseps biyopsisi yapilabildi. Hastalarin 45’inde (%84.9) ilave özofagus patolojisi saptamadik, 39’unda (%73.5) alt özofagus sfinkteri normal, 14’ünde (%26.4) incompetant, 1 (%1.8) hastada ise Hiatal Herni saptadik. 29 (%55.7) hastada endoskopik antral gastrit bulgusu saptadik. 22 endoskopik biyopsinin 12’sinde (%54.5) Helicobacter pylori pozitifti. Ayrica 2 (%3.7) hastada özofageal inlet patch distal özofagus yerlesimli olarak tespit edildi. Sonuç: Özofageal inlet patch kadinlarda daha sikti, gastroözofageal reflü hastaligi ile iliskisizdi ve çogu hasta asemptomatikti. Özofageal inlet patch’lerin median boyutlari 8 mm, deger araligi (4-30) idi, kadin erkek arasinda fark saptamadik. Inlet patch boyutlari ile semptom varligi arasinda da iliski kuramadik. Biyopsi alinan inlet patchlerin hiçbirisinde malignite bulgusuna rastlamadik
Abstract
Background and Aims: An esophageal inlet patch is crucial in swallowing difficulty, laryngopharyngeal reflux symptoms, and rarely in the etiology of proximal esophagus adenocarcinoma. We aimed to evaluate the endoscopic and demographic features of patients with esophageal inlet patch during endoscopic evaluation and compare them with those of the literature. Materials and Method: Between January 2017 and January 2021, we evaluated the age, gender ratio, inlet patch size, and number along with the other endoscopic findings in patients with proximal esophageal inlet patch. Results: Overall, 53 patients (women, 36 (68%); mean age, 46.3 ± 15.8 years; range, 19–83 years) were included the study. Only 13 patients (24.5%) had specific symptoms of esophageal inlet patch. The median esophageal inlet patch size was 7.0 mm in women (range, 4–30), while it was 8 mm (range, 5–20) in men. The median inlet patch number was 1 in both sexes (range, 1–3 in women, 1–2 in men). Forceps biopsy was possible in 30 (56.6%) patients. We found no additional esophageal pathology in 45 (84.9%) patients, normal lower esophageal sphincter in 39 (73.5%), incompetent lower esophageal sphincter in 14 (26.4%), hiatal diaphragmatic hernia in 1 (1.8%), and endoscopic antral gastritis in 29 (55.7%) patients. Twelve (54.5%) of 22 endoscopic biopsies were positive for Helicobacter pylori. We detected esophageal inlet patch in the distal esophagus in 2 (3.7%) patients. Conclusion: Esophageal inlet patch was more common in women, unrelated to gastroesophageal reflux disease, and most patients were asymptomatic, with a median size of 8 mm (range, 4–30), with no gender difference. Moreover, inlet patch size was not associated with presence of symptoms. Evidence of malignancy in the biopsied inlet patches was not observed
