Year 2020 / Volume 112 / Number 5
Digestive Diseases Image
An unusual endoscopic presentation of diffuse duodenal gastric heterotopia

414-415

DOI: 10.17235/reed.2020.6372/2019

Sandra María Gómez Espejo, Francisco Fernández Pérez, Pilar Gutiérrez Hernández, Teresa Pereda Salgado,

Abstract
We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable, except for a slight elevation of indirect bilirubin due to Gilbert's syndrome. An upper gastrointestinal tract endoscopy showed a diffuse and homogeneous micropolypoid mucosal pattern that involved the entire duodenal bulb. Histopathology analysis revealed gastric heterotopic mucosa with foveolar epithelium and fundic glands. A diagnosis of diffuse duodenal gastric heterotopia was determined. Anti-H2 blockers were prescribed with a significant clinical improvement.
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References
- Barosa Rita et al. Fundic gland polyps and duodenal gastric heterotopia – is this an unusual association?. Endoscopy 2015; 47:E561–E562.
- Conlon N, Logan E, Veerappan S et al. Duodenal gastric heterotopia: further evidence of an association with fundic gland polyps. Hum Pathol 2013; 44:636–642.
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Gómez Espejo S, Fernández Pérez F, Gutiérrez Hernández P, Pereda Salgado T. An unusual endoscopic presentation of diffuse duodenal gastric heterotopia. 6372/2019


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Publication history

Received: 06/05/2019

Accepted: 03/06/2019

Online First: 27/04/2020

Published: 08/05/2020

Article revision time: 18 days

Article Online First time: 357 days

Article editing time: 368 days


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