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The Old Endoscopy Quiz (and Answer) of the Month
April 2006

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Question:

Answer:

Oesophageal Inlet Patch.

Inlet patch is a patch of gastric epithelium in the cervical part of the oesophagus. It does not have any clinical significance and follow up is not necessary. About 1% of the population has a finding like this.

Here is one of the best descriptions of Inlet patches:

Arch Pathol Lab Med 2004 Apr;128(4):444-7.
Tang P, McKinley MJ, Sporrer M, Kahn E:
Inlet patch: prevalence, histologic type, and association with esophagitis, Barrett esophagus, and antritis.

Answers and comments were emailed by

Hiam Mustafa, Khartoum, Sudan
Noa Ciuraru, Zoran, Israel
Salvatore Della Ducata, Gallipoli, Italy
Dr.khalid ahmed bamakhrama, DUBAI, UAE
Zahreddine Radwan, Beirut, Lebanon
Shawn Xue, Toronto, Canada
Dong Ngoc Khanh, Ho Chi Minh City, Viet Nam
PARABOLI SILVA, Marcio Luiz , SAO JOSE DO RIO PRETO-SP-, BRAZIL
Jeroen Jansen, Amsterdam, Netherlands
Ho Dang Quy Dung, Cho Ray Hospital, HCM city, Viet Nam
Jessica Grimes, Salisbury, USA/NC

Madrid Cathedral in the night
Lizbeth Mendoza, Madrid, Spain
mehmet, Turkey, Istanbul
Hakan, Istanbul, Turkey
Zahzah Mounia, Rabat, Morocco
Hatemi, Istanbul, Turkey
Christina, Campinas, Brasil
sergio roberto, Balneario Camboriu, Brazil/ Santa Catarina
Jana M., Tartu, Estonia
Dr Virendra Parikh, Fort Wayne, USA, Indiana
alighavidel, Tabriz, Iran
luis guillermo guerrero, BOGOTA, COLOMBIA
Cevale Karslioglu Sgouros, Istanbul, Turkey
Yaşar Nazlıgül, Ankara, TÜRKİYE
larry, claremore, ok, USA
satish nallam, Pondicherry, India
jeana day, Mesa, USA/AZ.
Mones Takriti, Pontiac, USA/Michigan


Stone banister at Topcapi Palace in Istanbul ©
Ilker Abci, İstanbul, Turkey
Ellie Pongratz, Bowie, MD
Amna Al Mazmi, Dublin, Ireland
Klaudia Niepsuj, Gliwice, Poland
LUIS FELIPE SISO, CUMANA, VENEZUELA/SUCRE
EMAD FAYYAD, DUBAI, UNITED ARABE EMIRATES
Marek Kujawiak , Stargard, Poland
Val F. Neri, Philippines
Raina Draganova, Sofia, Bulgaria
Eduardo Puelma, Santiago, Chile
SEREF OZEN, SAMSUN, TURKEY
Jose Joaquin Ramirez, Xàtiva, Spain
Björn Lindkvist, Gothenbourg, Sweden
Amrani Khalil, Constantine, Algeria
Radu Ionescu, Bucharest, Romania
Retter Jürgen, Mannhwim, Germany
Radha, Chennai, India
Anjali Malkani, Baltimore, MAryland,USA
Gail, Greenback, Tennessee USA
Toni Senter, Potsdam, USA, New York
Sue Gritt, winchester, Hampshire
Lesley Pitman, St Helier, Jersey, UK
GastroG, Potsdam, USA/New York


... Answers from 5 continents and 29 countries. What a small and nice world we are living in!

Comments:

Ectopic gastric mucosa. The finding has no relevance for the reported symptoms.