Author(s): ZHOU Huai-li, XU Xiao-hua, ZHONG Mei-sheng, CHEN Hong-jiang, GUO Hui-xue
Pages: 181-182
Year: 2009 Issue:  3
Journal: China Medicine
Keyword:  Heterotopic gastric mucosa in upper esophagus; Painless gastroscopy; Diagnostic value;
Abstract: Objective To evaluate the clinical value of painless gastroscopy in diagnosis of heterotopic gastric mucosa in upper esophagus (HGMUE). Methods The clinical data of patients diagnosed of HGMUE by ordinary or painless gastroscopy in recent 15 months were collected and analyzed retrospectively. Clinical presentations, endoscopic characteristics and the diagnostic rate were compared between ordinary gastroscopy group and painless gastroscopy group. Results Fourteen cases of HGMUE were confirmed by ordinary gastroscopy among 4367 patients with a diagnostic rate of 0.3%. Thirty-four cases of HGMUE were diagnosed by painless gastroscopy in 4328 patients with a diagnostic rate of 0.79% , which was significantly higher than that in ordinary gastroscopy group (P < 0.05). As compared with ordinary gastroscopy, painless gastroscopy was obviously superior in diagnosis HGMUE located 15 cm to 17 cm from the cutting teeth and with the size less than 1 cm in diameter (P <0.05). Conclusion Painless gastroscopy might increase the clinical diagnostic rate of HGMUE and might more truthfully reflect the incidence. It is particularly effective in finding small lesions at the proximal esophagus.