Caso endoscópico: heterotopia gástrica do esófago próximal

• Autor(a) principal: Pereira, F.
• Data de Publicação: 2010
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.16/1064
• topic: ectopic gastric mucosa

We present a case of a five-year-old girl observed for vomiting after meals during the last two months. She had been evaluated by the age of six months for frequent regurgitation. The upper digestive tract X-ray and 24 hours pH monitoring were normal, establishing the diagnosis of physiologic gastro-esophageal refl ux. At the age of five the patient started having post-prandial vomiting, without other digestive or general symptoms. She had a normal development and normal physical examination and analytical profi le. The upper digestive endoscopy showed two islets of abnormal red mucosa, with irregular surface, slightly depressed, each measuring about 15mm in the upper oesophagus, below the sphincter. The histological study of mucosal biopsies concluded for ectopic gastric mucosa. The patient became symptoms-free under treatment with PPI (protonpump inhibitiors).