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Esophageal Mucosal Bridge of Unknown Etiology Causing Dysphagia in an Elderly Female: Endoscopic Management and Literature Review

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Summary:Esophageal mucosal bridge is an elastic stretchable structure,connecting across the lumen, extending either obliquelyor horizontally, more commonly seen in the mid or loweresophagus. It can be either congenital or secondary (acquired).Acquired ones are secondary to reflux esophagitis,corrosive esophageal injury, drug-induced esophagitis, radiationesophagitis, Crohn’s disease, Mallory-Weiss syndrome,malignant tumors, and infections like candidiasis,HSV, CMV, or tuberculosis. We present a case of an elderlyfemale, who presented with progressive dysphagia for 3months, more commonly to solids without any history of anorexiaor weight loss. No history of corrosive ingestion, radiationexposure, or prior history of any surgical or endoscopicintervention was present. Upper gastrointestinal endoscopyrevealed esophageal mucosal bridge at 20 and 25cm from incisors and mucosal tag. Endoscopic resection wascarried out successfully with hot biopsy forceps and needleknife after prophylactic application of hemoclips at two endsof each bridge, without any adverse event. Esophageal mucosalbridge, though rarely reported, should be kept in thedifferential diagnosis of patients presenting with dysphagia.Endoscopic resection with hot biopsy forceps or needle knifeseems to be effective.
Main Authors:Debnath,Prasanta
Other Authors:Udgirkar,Suhas; Rathi,Pravin; Jain,Shubham; Nair,Sujit; Pawar,Vinay; Contractor,Qais
Subject:Esophagus Mucosal bridge Dysphagia Endoscopy
Year:2020
Country:Portugal
Document type:report
Access type:open access
Associated institution:Fundação para a Ciência e Tecnologia
Language:English
Origin:SciELO Portugal

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