Zeitschrift für Allgemeinmedizin

High Dose PPI with H2 Blocker for Long Term Remission of Symptoms in Cervical Inlet Patch

Abstract

Aloke and Sandeep Bhattachrjee

Cervical inlet patch is an ectopic gastric mucosa in upper end of oesophagus. They are generally asymptomatic, few may present with oropharyngeal symptoms due to acid secretion from the patch like odynophagia, dysphagia, globus sensation, cough etc. Here we present a symptomatic case with complains of odynophagia, dysphagia and globus sensation who responded remarkably with the acid suppression. High dose PPI with H2 blocker was prescribed for 8 weeks which resulted in long term remission of symptoms. Patient was followed for 5 years. There were no recurrence of symptoms neither developed any other complications of acid secretion.