Year 2008 / Volume 100 / Number 8
Original
Eosinophilic esophagitis in the adult - clinical, endoscopic, pH-metric, and manometric findings

pp. 476-480

Martín Martín, L. / Santander Vaquero, C. / Sánchez Prudencio, S. / Cantero Perona, J. / Gisbert, J. P. / Moreno-Otero, R.

Abstract
Objectives: eosinophilic esophagitis (EE) is a condition characterized by dysphagia and frequent food impaction in young adults. The aim of our study was to evaluate the clinical aspects, endoscopic features, pH-metric and motility disorders in EE.

Patients and methods: adult patients with EE were prospectivity included. Endoscopy with biopsy, stationary esophageal manometry, and 24-hour pH-metry were performed. We analyzed the duration of disease, allergies, blood peripheral eosinophilia, prevalence of dysphagia, number of food impaction episodes, and complications during the endoscopic procedure.

Results: eleven male patients with a mean age of 35 years were followed. Endoscopy showed esophageal disorders in all cases: 5 esophageal felinizations, mucosal abnormalities in 4 cases, distal rings in 3 cases, and 2 esophageal stenoses. In two cases mucosal tearing during the endoscopic procedure was described. In 6 patients the manometric study showed motor disorders affecting the esophageal body, 5 of them displaying hypomotility. Two patients showed pathological gastroesophageal reflux during pH-monitoring. Blood peripheral eosinophilia was detected in 3 patients.

Conclusion: although endoscopic abnormalities are frequently found, they do not usually explain dysphagia and food impaction episodes in EE. Ineffective esophageal peristalsis is the most prevalent manometric disorder associated with this entity, although it is not clearly related to symptom worsening either.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
Martín Martín, L. / Santander Vaquero, C. / Sánchez Prudencio, S. / Cantero Perona, J. / Gisbert, J. P. / Moreno-Otero, R.. Eosinophilic esophagitis in the adult - clinical, endoscopic, pH-metric, and manometric findings. 476-480


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 27 visits.
This article has been downloaded 27 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology