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The Old Endoscopy Quiz (and Answer) of the Month
September 2002

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Question:

Click on an image to get a magnification!

The autumn is here and with it the September quiz.

This middlge aged gentleman was examined because of some slight dyspeptic symptoms. He had not had any swallowing disorders, nor had he suffered from any reflux disease. His stomach was normal. This is the finding in the very upper part of his oesophagus. What is this finding?

Answer

Inlet Patch.

An Inlet Patch is a small area of gastric epithelium in the upper part of the oesophagus. It is most often of no clinical significance and is probably of congenital origin. However, this heterotopic gastric mucosa can be colonized by Helicobacter pylori, causing a symptomac ulceration in the inlet patch. As seen in some of these images, these patches can be multiple.

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.

Correct answers and comments were emailed by

    Ervin Toth, Malmö, Sweden
    dongjun, taiyuan, shanxi
    Pavel Sillinger, MD, Pardubice, Czech Republic

Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon
    Dario Gambaccini, Livorno, Italia
    lotfiaissaoui, arar, tunisia
    Massimo Picasso, Sanremo, Italy
    PARABOLI SILVA, Marcio Luiz, CAMPO MOURAO-PARANA-BRAZIL
    Saleem,Qader, Lund, Sweden
    Dr. Poschmann, Hanau, Germany
    Claudia Ludwig, Vienna, Austria
    Antonio Sia, Patrocinio (MG), Brazil
    Peeter Kõiva, Tartu, Estonia
    Ulrike Hurler, Heidenheim, Germany
    Charles Dyer, Somerset, ky
    Ilker ABCI, Edirne, Turkey
    Yaşar Nazlıgül, Ankara, Turkey
    Chalhoub Wissam, Beirut, Lebanon
    Dr.Sameer Al awadhi, Dubai, United Arab emirates
    Dr.Emad Fayyad, Dubai, United Arab Emirates
    Dr. Jamila Bin Adi, Dubai, United Arab Emirates
    Arber, Prishtina, Kosovo
    Murat Toruner, Ankara, Turkey
    Kubilay Cinar, Ankara, Turkey


    Turkey
    irfan soykan, Ankara, Turkey
    Christian Nielsen, Vasa, Finland
    cagatay sezgin, osmaniye, Turkey
    Arber Veliu, Prishtina, Kosovo

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