Villous adenoma of the esophagus in ectopic gastric mucosa: A case report
DOI:
https://doi.org/10.22516/25007440.596Keywords:
villous adenoma, Endoscopic submucosal dissection (ESD), Endoscopic mucosectomy, Gastroesophageal refluxAbstract
Introduction: Villous adenomas are lesions of the digestive tract with a high tendency to malignancy. Its location in ectopic gastric mucosa patches in the cervical esophagus is an atypical presentation of clinical and pathological interest.
Objective: To present a case of villous adenoma in ectopic gastric mucosa of the cervical esophagus.
Methods: A case study of a patient with a diagnosis of villous adenoma is presented, as well as a review of the current literature.
Results: A tubulovillous adenoma with low-grade dysplasia was identified by histopathological study. Its endoscopic location was a gastric ectopic mucosa patch in the cervical esophagus.
Conclusions: The location of villous adenomas in the cervical esophagus may predispose to the development of neoplastic lesions. Detailed evaluation of this segment using techniques, such as high-definition digital chromoendoscopy, would allow for early detection and treatment of these lesions.
Downloads
References
Delgado EM, Morro PI, de Oporto PM. Hipopotasemia por adenoma velloso. Síndrome de Mckittrick y Wheelock. FMC-Formación Médica Continuada en Atención Primaria. 2009;16(2):79-84. https://doi.org/10.1016/S1134-2072(09)70286-5
Wong WM, Shek TH, Chan CK, Lai KC. Gastrointestinal: Villous adenoma of the esophagus. J Gastroenterol Hepatol. 2004;19(10):1213. https://doi.org/10.1111/j.1440-1746.2004.03620.x
Strum WB. Colorectal adenomas. N Engl J Med. 2016;374(11):1065-1075. https://doi.org/10.1056/NEJMra1513581
Castro DJ, Marcano J, Peraza S, Ramírez L. Adenoma velloso de estómago: presentación de un caso. Gen. 2016;70(3):86-88.
Shaib YH, Rugge M, Graham DY, Genta RM. Management of gastric polyps: an endoscopy-based approach. Clin Gastroenterol Hepatol. 2013;11(11):1374-1384. https://doi.org/10.1016/j.cgh.2013.03.019
Jang CR, Choi SR, Cho JH, Koo YH, Han SH, Ryu SH, Lee DH, Jang JS, Lee JH, Roh MH, Cho JH. A case of giant gastric villous tumor with carcinomatous change. Korean J Gastroenterol. 2005;45(6):431-5.
Miller JH, Gisvold JJ, Weiland LH, McIlrath DC. Upper gastrointestinal tract: villous tumors. AJR Am J Roentgenol. 1980;134(5):933-6. https://doi.org/10.2214/ajr.134.5.933
Mion F, Lambert R, Partensky C, Cherkaoui M, Berger F. High-grade dysplasia in an adenoma of the upper esophagus developing on heterotopic gastric mucosa. Endoscopy. 1996;28(7):633-5. https://doi.org/10.1055/s-2007-1005561
Jabbari M, Goresky CA, Lough J, Yaffe C, Daly D, Côté C. The inlet patch: heterotopic gastric mucosa in the upper esophagus. Gastroenterology. 1985;89(2):352-6. https://doi.org/10.1016/0016-5085(85)90336-1
Kaneko E, Kohda A, Honda N, Kino I. Incomplete tubular duplication of esophagus with heterotopic gastric mucosa. Dig Dis Sci. 1989;34(6):948-951. https://doi.org/10.1007/BF01540284
Peitz U, Vieth M, Evert M, Arand J, Roessner A, Malfertheiner P. The prevalence of gastric heterotopia of the proximal esophagus is underestimated, but preneoplasia is rare-correlation with Barrett’s esophagus. BMC Gastroenterol. 2017;17(1):87. https://doi.org/10.1186/s12876-017-0644-3
Akbayir N, Alkim C, Erdem L, Sökmen HM, Sungun A, Basak T, Turgut S, Mungan Z. Heterotopic gastric mucosa in the cervical esophagus (inlet patch): endoscopic prevalence, histological and clinical characteristics. J Gastroenterol Hepatol. 2004;19(8):891-6. https://doi.org/10.1111/j.1440-1746.2004.03474.x
Azar C, Jamali F, Tamim H, Abdul-Baki H, Soweid A. Prevalence of endoscopically identified heterotopic gastric mucosa in the proximal esophagus: endoscopist dependent? J Clin Gastroenterol. 2007;41(5):468-71. https://doi.org/10.1097/01.mcg.0000225519.59030.8d
Poyrazoglu OK, Bahcecioglu IH, Dagli AF, Ataseven H, Celebi S, Yalniz M. Heterotopic gastric mucosa (inlet patch): endoscopic prevalence, histopathological, demographical and clinical characteristics. Int J Clin Pract. 2009;63(2):287-91. https://doi.org/10.1111/j.1742-1241.2006.01215.x
Gutierrez O, Akamatsu T, Cardona H, Graham DY, El-Zimaity HM. Helicobacter pylori and hetertopic gastric mucosa in the upper esophagus (the inlet patch). Am J Gastroenterol. 2003;98(6):1266-70. https://doi.org/10.1111/j.1572-0241.2003.07488.x
Kadota T, Fujii S, Oono Y, Imajoh M, Yano T, Kaneko K. Adenocarcinoma arising from heterotopic gastric mucosa in the cervical esophagus and upper thoracic esophagus: two case reports and literature review. Expert Rev Gastroenterol Hepatol. 2016;10(3):405-14. https://doi.org/10.1586/17474124.2016.1125780
von Rahden BH, Stein HJ, Becker K, Liebermann-Meffert D, Siewert JR. Heterotopic gastric mucosa of the esophagus: literature-review and proposal of a clinicopathologic classification Am J Gastroenterol. 2004;99(3):543-51. https://doi.org/10.1111/j.1572-0241.2004.04082.x
López-Picazo Ferrer J, Alberca de las Parras F, Sánchez del Río A, Pérez Romero S, León Molina J, Júdez Gutiérrez F. Indicadores de calidad en endoscopia digestiva: introducción a los indicadores comunes de estructura, proceso y resultado. Rev Esp Enferm Dig. 2017;109(6):435-50. http://doi.org/10.17235/reed.2017.5035/2017
Tchekmedyian AJ, Pellisé M, Sáenz R. Imágenes de banda estrecha o Narrow band imaging (NBI): una nueva era en endoscopía digestiva. Rev Méd Urug. 2008;24(1):42-9.
Downloads
Published
How to Cite
Issue
Section
License
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
Los autores/as ceden sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación en esta revista.
Los contenidos están protegidos bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
