Prevalence of Eosinophilic Esophagitis and Lymphocytic Esophagitis in Adults with Esophageal Food Bolus ImpactionReportar como inadecuado




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Gastroenterology Research and Practice - Volume 2016 2016, Article ID 9303858, 6 pages -

Research ArticleDepartment of Medicine, Huddinge, and Center for Digestive Diseases, Karolinska Institutet and Karolinska University Hospital, 14186 Stockholm, Sweden

Received 3 June 2016; Accepted 4 July 2016

Academic Editor: Kenya Kamimura

Copyright © 2016 Kotryna Truskaite and Aldona Dlugosz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The relation of esophageal food bolus impaction FBI to eosinophilic esophagitis EoE and lymphocytic esophagitis LyE is unclear. The aim of this study was to determine the prevalence of EoE and LyE among adults with FBI. Methods. In this retrospective study we analyzed data from all patients referred for gastroscopy during the past 5 years, because of a present or recent episode of FBI. Results. We found 238 patients with FBI median age 51 17–96, 71% males. Endoscopic therapy was required in 143 patients. Esophageal biopsies were obtained in 185 78% patients. All biopsies were assessed for numbers of eosinophils and lymphocytes. EoE was found in 18% of patients who underwent biopsy. We found 41 patients 22% who fulfilled the criteria for both EoE and LyE EoE-LyE. LyE was found in the 9% of patients with FBI. EoE together with EoE-LyE was the leading cause of FBI in patients ≤50 years 64%. GERD was the leading cause of FBI among patients older than 50 years 42%. Conclusions. Our study showed that EoE was the leading cause of FBI in particular among young adults. Our study highlights the need for esophageal biopsies in any patient with FBI.





Autor: Kotryna Truskaite and Aldona Dlugosz

Fuente: https://www.hindawi.com/



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