Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Subject: Re: congenital ectopic gastric muscosa?
Forum: The Gastroenterology and Liver Diseases Forum
Topic Area: Barrett's Esophagus
Posted by HFHSM.D.-rf on May 29, 1998 at 22:11:14:
In Reply to: congenital ectopic gastric muscosa? posted by Wayne on May 21, 1998 at 20:02:55:



After an endoscopy, I have been told that I have "ectopic gastric muscosa." That is, cells in my upper esophagus that secrete acid like stomach cells. I'm being told that I was born with these cells, as opposed to having Barrett's esophagus.

I was also told this condition is fairly common, but I can not find any references on the Web to such a situation. Can you tell me more about this condition or where to look for more information?

My discomfort responds to Prevacid, but not to Zantac. It also responds to Pepto-Bismol chewable tablets, but not to the new Pepto-Bismol capsules. All of which seems to agree with the idea of a source of irritation in the upper esophagus.

Thanks much for any explanation or suggestions on where to look.

Wayne
___


Dear Wayne,
Columnar mucosa in the upper esophagus is a benign condition present since birth. Unlike Barretts esophagus, this condition is not associated with the subsequent develoment of esophageal cancer. Usually, there are no symptoms associated with this condition. Therefore, I am surprised by your history of pains. Are your doctors certain that the ectopic mucosa is the cause of your symptoms? With regard to therapy, I would use the medications which you know are effective. Finally, I am unaware of any web sites that would provide additional information regarding this condition.
This response is offered for your general information and should not replace the conclusions drawn from a careful and complete evaluation by your physician.
HFHSM.D.-rf
*keywords: esophagus
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