Ergin ARSLAN, Gamze TALİH, Betül AYTEKİN, Soykan DİNÇ, Tutkun TALİH

İNLET PATCH SIKLIĞI ve KLİNİK ÖNEMİ

Amaç: Bu retrospektif çalışmada inlet patch (IP) sıklığını belirlemek, makroskopik ve histolojiközelliklerini tanımlamak, demografik ve klinik özelliklerini değerlendirmek amaçlanmıştır.Gereç ve yöntemler: Aralık 2017 –Eylül 2018 tarihleri arasında dispeptik şikayetler ile genel cer-rahi endoskopi ünitesinde özofagogastroduodenoskopi (ÖGD) yapılan ardışık 459 hastanın en-doskopi ve patoloji sonuçları etik kurul onamı alındıktan sonra retrospektif olarak incelendi. IPsaptanan hastaların klinik, histopatolojik ve demografik verileri kaydedildi.Bulgular: Çalışmada ÖGD yapılan 459 hastanın 13’ünde (%2.8) IP tespit edildi. Lezyonların özofa-gustaki yerleşimleri 16-20. cm ‘ler arasında idi ve boyutları 0,3 cm ile 2 cm arasında değişiyordu.Histopatolojik değerlendirmede dört (%30.8) hastada antral tip gastrik mukoza izlenirken, dokuz(%69,2 ) hastada ise fundik tip gastrik mukoza içerdiği görüldü.Sonuç: Nadir görülen bir anomali olan IP dispeptik şikayetler nedeni ile ÖGD uygulanacak hasta-larda akılda tutulması gereken bir antitedir.

Prevalence and Clinical Importance of Inlet Patch

Objective: We aimed to determine the Inlet Patch’s (IP) prevalence, macroscopic and histological features and to evaluate the demographic and clinical features in this retrospective study. Material and Method: Endoscopy and pathology results of 459 consecutive patients who underwent esophagogastroduodenoscopy (EGD) in our study between December 2017 and September 2018 were investigated retrospectively after receiving the ethics committee confirmation. Clinical, histopathological and demographic data of patients with IP were recorded. Results: İnlet Patch was found in 13 of 459 patients who underwent EGD. The endoscopic prevalence was calculated as 2.83%. Locations of esophagus 16-20. cm and ranged from 0.3 cm to 2 cm in size. Histopathological evaluation showed that antral type gastric mucosa in four patients (30.76%) and fundic type gastric mucosa in nine patients (69.24%). Conclusion: Inlet Patch is a rare anomaly, and it should be kept in mind when performing EGD with the cause of dispeptic complaints.

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