An unusual endoscopic presentation of diffuse duodenal gastric heterotopia (DGH) | Zendy

Sandra María Gómez Espejo | Zendy; F. Fernández Pérez | Zendy; Pilar Gutiérrez Hernández | Zendy; Teresa Pereda Salgado | Zendy

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An unusual endoscopic presentation of diffuse duodenal gastric heterotopia (DGH)

Author(s) -

Sandra María Gómez Espejo,

F. Fernández Pérez,

Pilar Gutiérrez Hernández,

Teresa Pereda Salgado

Publication year - 2020

Publication title -

revista española de enfermedades digestivas

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.331

H-Index - 38

eISSN - 2340-4167

pISSN - 1130-0108

DOI - 10.17235/reed.2020.6372/2019

Subject(s) - heterotopia (medicine) , medicine , presentation (obstetrics) , gastroenterology , duodenum , radiology , pathology

We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable, except for a slight elevation of indirect bilirubin due to Gilbert's syndrome. An upper gastrointestinal tract endoscopy showed a diffuse and homogeneous micropolypoid mucosal pattern that involved the entire duodenal bulb. Histopathology analysis revealed gastric heterotopic mucosa with foveolar epithelium and fundic glands. A diagnosis of diffuse duodenal gastric heterotopia was determined. Anti-H2 blockers were prescribed with a significant clinical improvement.

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