Year 2018 / Volume 110 / Number 7
Letter
Intramural esophageal dissection. A rare occurrence in pediatric eosinophilic esophagitis

468-469

DOI: 10.17235/reed.2018.5577/2018

Susana Castaninha, Joao Lopes, Ana Isabel Lopes,

Abstract
Eosinophilic esophagitis (EoE) is a chronic immune-mediated esophageal disease, with a rising incidence in childhood. The diagnosis is confirmed by esophageal mucosa eosinophil-predominant inflammation. Rare complications, such as intramural esophageal dissection (IED) due to progressive transmural inflammatory and fibrotic process, may occur in young adults. While severe cases can require immediate surgical intervention, conservative management may be also effective, as recently reported by Ibáñez-Sanz et al., decreasing the risk of surgery-related complications.
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References
Liguori G, Cortale M, Cimino F, et al. Circumferential mucosal dissection and esophageal perforation in a patient with eosinophilic esophagitis. World J Gastroenterol 2008; 14: 803-804. DOI: 10.3748/wjg.14.803 PMID:18205276 PMCID:2684013
Sgrò A, Betalli P, Battaglia G, et al. An unusual complication of eosinophilic esophagitis in an adolescent: intramural esophageal dissection. Endoscopy. 2012;44:E419-20. doi: 10.1055/s-0032-1325777
Ibáñez-Sanz G, Rodríguez-Alonso L, Romero NM. Spontaneous intramural esophageal dissection: an unusual onset of eosinophilic esophagitis. Rev Esp Enferm Dig. 2016;108(3):156-7
Lucendo, A.J., Arias, A., De Rezende, L.C., et al. Subepithelial collagen deposition, profibrogenic cytokine gene expression, and changes after prolonged fluticasone propionate treatment in adult eosinophilic esophagitis: a prospective study. J Allergy Clin Immunol 2011; 128: 1037-1046
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Castaninha S, Lopes J, Lopes A. Intramural esophageal dissection. A rare occurrence in pediatric eosinophilic esophagitis. 5577/2018


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Publication history

Received: 05/03/2018

Accepted: 12/03/2018

Online First: 03/05/2018

Published: 02/07/2018

Article Online First time: 59 days

Article editing time: 119 days


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