BACKGROUND: Upper oesophageal webs or rings have rarely been reported in association with heterotopic gastric mucosa (HGM). OBJECTIVE: To describe the finding of oesophageal webs in association with HGM. DESIGN: Small case series. SETTING: Patients presenting with dysphagia to an open access hospital dysphagia clinic. PATIENTS: Six cases were found. INTERVENTIONS: Symptomatic improvement is demonstrated with oesophageal dilatation in symptomatic patients. MAIN OUTCOME MEASUREMENTS: Symptomatic improvement. RESULTS: The six cases which are described here demonstrate that a web or ring exactly matches the distribution of the heterotopic mucosa, can occur at both proximal and distal squamo-columnar junctions and the inlet patches may be multiple with multiple rings. A radiological double web sign is described. LIMITATIONS: A rare condition with a small number of patients. CONCLUSIONS: Effective treatment can be by oesophageal dilatation and acid suppression. The cause of web formation is thought to be due to heterotopic acid production and is analogous to the Schatzki ring.
BACKGROUND: Upper oesophageal webs or rings have rarely been reported in association with heterotopic gastric mucosa (HGM). OBJECTIVE: To describe the finding of oesophageal webs in association with HGM. DESIGN: Small case series. SETTING:Patients presenting with dysphagia to an open access hospital dysphagia clinic. PATIENTS: Six cases were found. INTERVENTIONS: Symptomatic improvement is demonstrated with oesophageal dilatation in symptomatic patients. MAIN OUTCOME MEASUREMENTS: Symptomatic improvement. RESULTS: The six cases which are described here demonstrate that a web or ring exactly matches the distribution of the heterotopic mucosa, can occur at both proximal and distal squamo-columnar junctions and the inlet patches may be multiple with multiple rings. A radiological double web sign is described. LIMITATIONS: A rare condition with a small number of patients. CONCLUSIONS: Effective treatment can be by oesophageal dilatation and acid suppression. The cause of web formation is thought to be due to heterotopic acid production and is analogous to the Schatzki ring.
Authors: A Meining; M Bajbouj; M Preeg; J Reichenberger; A M Kassem; W Huber; S J Brockmeyer; C Hannig; H Höfler; C Prinz; R M Schmid Journal: Endoscopy Date: 2006-06 Impact factor: 10.093
Authors: Monther Bajbouj; Valentin Becker; Florian Eckel; Stephan Miehlke; Oliver Pech; Christian Prinz; Roland M Schmid; Alexander Meining Journal: Gastroenterology Date: 2009-05-04 Impact factor: 22.682
Authors: Marcin Romańczyk; Krzysztof Budzyń; Tomasz Romańczyk; Magdalena Lesińska; Mateusz Koziej; Marek Hartleb; Marek Waluga Journal: Dysphagia Date: 2022-07-09 Impact factor: 3.438