Endoscopy 2025; 57(S 02): S583
DOI: 10.1055/s-0045-1806532
Abstracts | ESGE Days 2025
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Use of radiofrequency ablation for laryngeal reflux secondary to heterotopic gastric mucosa: A case report

Authors

  • F J Sánchez Roncero

    1   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain

  • C Bógalo Romero

    1   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain

  • L Madrigal Bayonas

    2   Rafael Méndez University General Hospital, Lorca, Spain

  • A Gómez Gómez

    3   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain

  • M Romero Martínez

    3   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain

  • R Fernández Nievas

    3   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain

  • G Calatayud Vidal

    2   Rafael Méndez University General Hospital, Lorca, Spain

  • M Muñoz Tornero

    3   Virgen of Arrixaca University Clinical Hospital, El Palmar, Spain

  • J Egea Valenzuela

    1   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain

  • F Alberca De Las Parras

    1   Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Spain
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Gastric heterotopia in the cervical esophagus (GHC) is a relatively common endoscopic finding, with a reported incidence of up to 13%. Although it is mostly asymptomatic, GHC has been associated with symptoms of gastroesophageal reflux (GER), as well as complications such as stenosis or even neoplasms.

We present the case of a 70-year-old woman referred to our center for evaluation due to GER symptoms and debilitating cough of several years' duration, refractory to treatment with esomeprazole at a dose of 40 mg every 12 hours, prokinetics, and antacids. During the inicial endoscopy, only two islands of GHC were described, one measuring 2 cm and the other 1 cm, along with a hiatal hernia of less than 2 cm. High-resolution manometry showed no pathological alterations, and pH monitoring indicated mild reflux. Given the described symptoms, it was suspected to be secondary to GHC, so the patient consented to radiofrequency ablation outside the technical file. After the first session, the patient reported significant clinical improvement, with a reduced requirement for esomeprazole. At the next follow-up, the 2 cm island had disappeared, and the 1 cm island was treated.

The recommended treatment for GHC is PPI, followed by endoscopic treatment. While initial recommendations include mucosal resection and submucosal dissection, recent years have shown that radiofrequency is a safe and effective technique for endoscopic therapy [1] [2].



Publication History

Article published online:
27 March 2025

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