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DOI: 10.1055/s-0040-1704842
GASTRIC HETEROTOPIA: A RARE SMALL BOWEL FINDING TREATED ENDOSCOPICALLY WITH DOUBLE-BALLOON ENTEROSCOPY (DBE) (WITH VIDEO)
Publication History
Publication Date:
23 April 2020 (online)
Heterotopic gastric mucosa (HGM) is a rare entity that can occur anywhere in the gastrointestinal tract; its exact genesis remains unclear. While HGM is usually asymptomatic, it can occasionally cause bleeding, obstruction and perforation.
A 31-year-old woman presented with episodic cramping abdominal pain. A small bowel capsule endoscopy revealed a large lesion within the proximal small bowel. During anterograde double-balloon enteroscopy a 60mm sessile polypoid lesion was identified, at the jejunum.
Wide-field endoscopic-mucosal-resection was performed. Histology revealed gastric-type mucosa with mixed mucinous and specialised glands. Reactive changes with foveolar-hyperplasia and reactive nuclear features were seen and HGM diagnosis was made.
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