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Review
Cervical inlet patch: new insights into diagnosis and endoscopic therapy
  1. Radu Rusu1,
  2. Sauid Ishaq2,
  3. Terry Wong1,
  4. Jason M Dunn1
  1. 1Department of Gastroenterology, Guy’s & St Thomas' Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Gastroenterology, Russells Hall Hospital, Birmingham City University, Birmingham, UK
  1. Correspondence to Dr Jason M Dunn, Department of Gastroenterology, Guy’s & St Thomas' Hospitals NHS Foundation Trust, London, SE1 7EH, UK; jason.dunn{at}gstt.nhs.uk

Abstract

The cervical inlet patch is an island of heterotopic gastric mucosa, most commonly found in the proximal oesophagus. Its importance as a cause of throat symptoms has been recognised, particularly chronic globus sensation. This has led to a change in the Rome IV criteria for globus management, with emphasis on ruling out the condition. Proton pump inhibitors are often ineffective in resolving symptoms. Endoscopic studies on the use of ablative techniques, most recently radiofrequency ablation (RFA), have shown promise in reversing the CIP to mormal squamous mucosa, with subsequent symtpomatic resolution.The aim of this review is to update on the investigation and management of the CIP.

  • oesophageal disorders
  • acid-related diseases

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Footnotes

  • Contributors RR and JMD drafted manuscript; SI and TW edited and revised manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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