S2869 Gastric Tissue in the Duodenal Bulb: Heterotopia or Metaplasia?

Narang, Natasha; Al-Jashaami, Layth; Ahmed, Shifat; Aguon, Paul Muna; Haddad, Nael; Mann, Sarabdeep; Tschirhart, Donald L.; Batheja, Mashal

doi:10.14309/01.ajg.0000713524.08705.fe

Cited by 2 publications

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“…However, it has also been proposed that repeated injury to the duodenal mucosa by gastric acid can also lead to the development of fundic-type mucosa, making it an acquired process [ 2 ]. Narang et al described an important histological differentiation between GH and gastric metaplasia, emphasizing that GH is purely a congenital entity [ 5 ]. In our patient’s case, biopsy-proven gastric heterotopia along with no prior history of acid-reflux symptoms favors the congenital origin of the mass, although his age, finding of esophageal ulcer and esophageal intestinal metaplasia cannot rule out chronic irritation of the duodenal mucosa.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Heterotopic Gastric Tissue in Duodenal Bulb: An Interesting Endoscopic Finding

Khan¹,

Niaz²,

Khan³

et al. 2022

Cureus

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Gastric heterotopia (GH) is a rare, congenital condition where gastric tissue is found outside of its normal location in the gastric mucosa. It is usually benign and can be found throughout the gastrointestinal (GI) tract. In the duodenum, it is usually seen as multiple polyps, specifically in the duodenal bulb. Here, we discuss the case of a 67-year-old male patient who presented with hematemesis, melena, and abdominal pain. Esophagogastroduodenoscopy (EGD) and biopsy revealed a mass consisting of heterotopic gastric mucosa along with an esophageal ulcer. In this article, we will discuss the literature related to the clinical presentation, diagnosis, and management of GH.

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Section: Discussionmentioning

confidence: 99%

“…It has characteristic endoscopic and pathologic findings that are often mistaken for gastric metaplasia [ 3 ]. Although GH is usually asymptomatic, it can sometimes lead to abdominal pain, nausea, vomiting, and GI bleeds [ 5 ]. Here, we present a 67-year-old male who was incidentally found to have a heterotopic gastric mass.…”

Section: Introductionmentioning

confidence: 99%