%0 Journal Article
%A Gómez Espejo, Sandra María
%A Fernández Pérez, Francisco
%A Gutiérrez Hernández, Pilar
%A Pereda Salgado, Teresa
%T An unusual endoscopic presentation of diffuse duodenal gastric heterotopia.
%D 2020
%@ 1130-0108
%U http://hdl.handle.net/10668/15438
%X We present the case of a 30-year-old female patient with Gilbert's syndrome and gastrointestinal intolerance to proton pump inhibitors (PPI) with longstanding epigastric pain. Laboratory tests were unremarkable, except for a slight elevation of indirect bilirubin due to Gilbert's syndrome. An upper gastrointestinal tract endoscopy showed a diffuse and homogeneous micropolypoid mucosal pattern that involved the entire duodenal bulb. Histopathology analysis revealed gastric heterotopic mucosa with foveolar epithelium and fundic glands. A diagnosis of diffuse duodenal gastric heterotopia was determined. Anti-H2 blockers were prescribed with a significant clinical improvement.
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