Fernando Pereira¹

¹ Serviço de Gastroenterologia Hospital Maria Pia / CHPorto

ABSTRACT

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 reflux.

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 profile. 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).

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BIBLIOGRAFIA

1. Ward EM, Achem SR. Gastric heterotopia in the proximal esophagus complicated by striture. Gastrointestinal Endoscopy 2003; 57, nº1, 131-3

2. Johnson LF. Esophageal motility and miscellaneous diseases, in Gastroenterologic Endoscopy, Sivack 2000, 497. Saunders Company