Influence of narrow-band imaging (NBI) and enhanced operator’s attention during esophagus inspection on cervical inlet patches detection

Romańczyk, Marcin; Romańczyk, Tomasz; Lesińska, Magdalena; Romańczyk, Agnieszka; Hartleb, Marek; Waluga, Marek

doi:10.1016/j.advms.2021.02.002

Cited by 3 publications

(5 citation statements)

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“…2). 1,2,4,7–10,16–61 Notably, 5 of these included studies had 2 cohorts with different population with CIP each. The characteristics of the 53 included studies (n=932,777) are summarized (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Prevalence and Clinical and Endoscopic Characteristics of Cervical Inlet Patch (Heterotopic Gastric Mucosa)

Yin

Feng

et al. 2021

Journal of Clinical Gastroenterology

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Background: Cervical inlet patch (CIP), also called gastric inlet patch, is a heterotopic columnar mucosal island located in the cervical esophagus, which has been under-recognized by clinicians.Aim: We conducted a systemic review and meta-analysis to explore the prevalence and clinical and endoscopic characteristics of CIP.Materials and Methods: Studies were searched through the PubMed, EMBASE, and Cochrane Library databases. The prevalence of CIP with 95% confidence interval (CI) was pooled by using a randomeffect model. The association of CIP with demographics, clinical presentations, and endoscopic features was evaluated by odds ratios (ORs).Results: Fifty-three studies including 932,777 patients were eligible. The pooled prevalence of CIP was 3.32% (95% CI = 2.86%-3.82%). According to the endoscopic mode, the pooled prevalence of CIP was higher in studies using narrow-band imaging than in those using white light and esophageal capsule endoscopy (9.34% vs. 2.88% and 0.65%). The pooled prevalence of CIP was higher in studies where the endoscopists paid specific attention to the detection of this lesion (5.30% vs. 0.75%). CIP was significantly associated with male (

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Section: Resultsmentioning

confidence: 99%

Prevalence and Clinical and Endoscopic Characteristics of Cervical Inlet Patch (Heterotopic Gastric Mucosa)

Yin

Feng

et al. 2021

Journal of Clinical Gastroenterology

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“…Delayed development would explain later presentation of symptoms and could explain a proportion of inlet patches that eluded earlier diagnosis despite gastroscopy. It is very clear however that endoscopist skill and awareness and use of chromoendoscopy play important parts in detecting inlet patches 36–38 . Maconi et al showed an almost 8‐fold difference in the inlet patch detection rate between endoscopists who were and endoscopists who were not specifically aware of the need to identify them during upper gastrointestinal endoscopy 39 .…”

Section: Discussionmentioning

confidence: 99%

“…The UK quality standards for upper gastrointestinal endoscopy recommend that presence of inlet patches should be recorded and photodocumented 14 . Chromoendoscopy is known to increase inlet patch detection rate and it was used in all cases of the present series 36 …”

Section: Discussionmentioning

confidence: 99%

“…It is very clear however that endoscopist skill and awareness and use of chromoendoscopy play important parts in detecting inlet patches. [36][37][38] Maconi et al showed an almost 8fold difference in the inlet patch detection rate between endoscopists who were and endoscopists who were not specifically aware of the need to identify them during upper gastrointestinal endoscopy. 39 The UK quality standards for upper gastrointestinal endoscopy recommend that presence of inlet patches should be recorded and photodocumented.…”

Section: Identifying Gastric Inlet Patchesmentioning

confidence: 99%

“…14 Chromoendoscopy is known to increase inlet patch detection rate and it was used in all cases of the present series. 36…”

Section: Identifying Gastric Inlet Patchesmentioning

confidence: 99%

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A multidisciplinary approach to identifying and managing heterotopic gastric inlet patches

Ayres,

Perring,

Nouraei

2024

Neurogastroenterology Motil

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IntroductionGastric inlet patches are often incidental, but can also be a treatable cause of laryngo‐esophageal symptoms.MethodsWe retrospectively reviewed all patients whose gastric inlet patches were diagnosed following assessment for laryngopharyngeal and swallowing symptoms. Improvement following Argon Plasma Coagulation (APC) was assessed using Minimum Clinically‐Important Difference methodology combining voice, throat, and swallowing domains. Correlations between APC response and measures of reflux and mucosal barrier integrity, measured during 24‐h pH‐impedance manometry, were obtained. Proximal and Distal Mean Nocturnal Baseline Impedance (MNBI) values were separately calculated and the novel variable of Mucosal Impedance Gradient was derived as [((Distal MNBI‐Proximal MNBI)/((Distal MNBI + Proximal MMBI)/2)) x 100].Key ResultsInlet patches were detected in 57 of 651 patients who had Transnasal Panendoscopy (8.7 ± 2.2%). There were 34 males. Mean age was 58 years. Mean duration of symptoms was 2 years. The commonest symptoms were hoarseness (n = 33), throat symptoms (n = 24), and dysphagia (n = 21), respectively. APC was used to ablate patches in 34 patients. Treatment response was 71% at a mean followup of 5.5 months. MIG > − 25% predicted response to APC, with area under the receiver operating characteristic curve of 0.875 (Sensitivity = 81%; Specificity = 100%; p < 0.0001).ConclusionsGastric inlet patches are common and under‐recognized. They can cause protracted pharyngo‐esophageal symptoms. Patch ablation is an effective treatment for carefully selected patients. Optimal patient selection requires multidisciplinary teamwork. Mucosal Impedance Gradient could further refine patient selection.

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Heterotopic Gastric Mucosa in the Proximal Esophagus: Prospective Study and Systematic Review on Relationships with Endoscopic Findings and Clinical Data

et al. 2022

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Influence of narrow-band imaging (NBI) and enhanced operator’s attention during esophagus inspection on cervical inlet patches detection

Cited by 3 publications

References 28 publications

Prevalence and Clinical and Endoscopic Characteristics of Cervical Inlet Patch (Heterotopic Gastric Mucosa)

Prevalence and Clinical and Endoscopic Characteristics of Cervical Inlet Patch (Heterotopic Gastric Mucosa)

A multidisciplinary approach to identifying and managing heterotopic gastric inlet patches

Heterotopic Gastric Mucosa in the Proximal Esophagus: Prospective Study and Systematic Review on Relationships with Endoscopic Findings and Clinical Data

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