Year 2022 / Volume 114 / Number 8
Digestive Diseases Image
Severe drug esophagitis in a patient with achalasia

493-499

DOI: 10.17235/reed.2022.8476/2021

Juan Cristóbal Aguilar Martínez, Natalia Navarrete Vega, Dolores Fernández Olvera, Antonio M. Moreno García,

Abstract
An 82-year-old female with a history of osteoporosis and achalasia treated with periodic botulinum toxin injections presented a few weeks after the last session, reporting dysphagia and retrosternal pain. An upper gastrointestinal endoscopy revealed mucosal involvement in the middle and lower third of the esophagus in the form of edema, friability, exudate and extensive superficial ulcers, which converged distally and extended around the entire circumference. The cardia was punctiform, but could be passed without difficulty.
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References
1. De Groen PC, Lubbe DF, Hirsch LJ, et al. Esophagitis associated with the use of alendronate. N Engl J Med. 1996;335:1016-21.
2. Ribeiro A, DeVault KR, Wolfe JT, et al. Alendronate-associated esophagitis: endoscopic and pathologic features. Gastrointest Endosc. 1998;47:525-8.
3. Gómez V, Xiao SY. Alendronate-induced esophagitis in an elderly woman. Int J Clin Exp Pathol. 2009;2:200-3.
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Aguilar Martínez J, Navarrete Vega N, Fernández Olvera D, Moreno García A. Severe drug esophagitis in a patient with achalasia. 8476/2021


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Publication history

Received: 28/11/2021

Accepted: 11/12/2021

Online First: 10/01/2022

Published: 27/07/2022

Article revision time: 3 days

Article Online First time: 43 days

Article editing time: 241 days


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