Analysis of symptoms and endoscopic findings in 117 patients with histological diagnoses of eosinophilic esophagitis.

Abstract:

BACKGROUND AND STUDY AIMS:Although eosinophilic esophagitis has been increasingly diagnosed over recent years, little is known about this disease. In this study, symptoms, accompanying allergic disorders, and endoscopic findings in 117 patients with eosinophilic esophagitis were analyzed retrospectively. PATIENTS AND METHODS:The physicians who had treated the 117 patients (mean age 42.2 years; 9 children, 108 adults; male patients 71.8%) with the histological diagnosis of eosinophilic esophagitis were asked to provide data on symptoms, accompanying allergic disorders, and endoscopic findings. RESULTS:In 82.2% of the patients symptoms appeared in adulthood, predominantly between the ages of 21 and 30 years. The average duration of symptoms until final diagnosis of eosinophilic esophagitis was 4.2 years (range 0-44 years). The most frequent symptom was dysphagia (70.1%), followed by heartburn (47%), chest pain (29%), epigastric pain (29%), and a combination of dysphagia and heartburn (29%). Allergic disorders were seen in 48.7% of our patients. The most frequent endoscopic findings were stipple-like exudates (25.6%), linear fissures (25.6%), and reddening (25.6%), followed by rings (18.8%) and strictures (16.2%) of the esophagus. The esophageal mucosa was regarded as "normal" in 24.8% of the patients. CONCLUSION:Dysphagia in the second or third decade of life may suggest eosinophilic esophagitis. Symptoms of eosinophilic esophagitis may be indistinguishable from those of gastroesophageal reflux disease. The endoscopic appearance is not specific. Biopsies taken from multiple locations in the esophageal mucosa are essential for diagnosis of eosinophilic esophagitis.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Müller S,Pühl S,Vieth M,Stolte M

doi

10.1055/s-2007-966216

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

339-44

issue

4

eissn

0013-726X

issn

1438-8812

journal_volume

39

pub_type

杂志文章
  • Risk factors for inadequate bowel preparation: a validated predictive score.

    abstract::Background and study aim Inadequate bowel cleansing negatively affects the efficiency of colonoscopy in routine clinical practice. The aim of this study was to design and validate a predictive model for inadequate bowel cleanliness. Patients and methods The model was built from 667 consecutive outpatients (development...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0043-101683

    authors: Gimeno-García AZ,Baute JL,Hernandez G,Morales D,Gonzalez-Pérez CD,Nicolás-Pérez D,Alarcon-Fernández O,Jiménez A,Hernandez-Guerra M,Romero R,Alonso I,Gonzalez Y,Adrian Z,Carrillo M,Ramos L,Quintero E

    更新日期:2017-06-01 00:00:00

  • Throat spray for upper gastrointestinal endoscopy is quite acceptable to patients.

    abstract:BACKGROUND AND STUDY AIMS:The use of sedation in upper gastrointestinal endoscopy is widespread, mainly because of the belief that patients are likely to tolerate the procedure better. The aim of the present study was to assess patients' response to the policy of actively persuading them to accept a throat spray for up...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005453

    authors: Tan CC,Freeman JG

    更新日期:1996-03-01 00:00:00

  • One-year results of gastric peroral endoscopic myotomy for refractory gastroparesis: a French multicenter study.

    abstract:BACKGROUND:Data on the long-term outcomes of gastric peroral endoscopic myotomy (G-POEM) for refractory gastroparesis are lacking. We report the results of a large multicenter long-term follow-up study of G-POEM for refractory gastroparesis. METHODS:This was a retrospective multicenter study of all G-POEM operations p...

    journal_title:Endoscopy

    pub_type: 临床试验

    doi:10.1055/a-1205-5686

    authors: Ragi O,Jacques J,Branche J,Leblanc S,Vanbiervliet G,Legros R,Pioche M,Rivory J,Chaussade S,Barret M,Wallenhorst T,Barthet M,Kerever S,Gonzalez JM

    更新日期:2020-06-23 00:00:00

  • Non-biopsy detection of intestinal metaplasia and dysplasia in Barrett's esophagus: a prospective multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:There have been no multicenter studies investigating the use of magnification chromoendoscopy (MCE) for the detection of intestinal metaplasia and dysplasia/cancer in Barrett's esophagus. Our aims were to assess the ability of MCE to predict the histological diagnosis (non-biopsy detection), t...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2006-944974

    authors: Sharma P,Marcon N,Wani S,Bansal A,Mathur S,Sampliner R,Lightdale C

    更新日期:2006-12-01 00:00:00

  • Fine-needle endoscopic percutaneous gastrostomy.

    abstract::A procedure for percutaneous endoscopic gastrostomy is described. Under direct endoscopic control, the surgeon introduces, percutaneously, into the inflated stomach a 9 French Foley catheter through a special needle, which may then be opened for removal. After positioning, the terminal balloon of the Foley is inflated...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018585

    authors: Negri G,Cosentino F,Spina GP

    更新日期:1984-11-01 00:00:00

  • Vascular ectasia of the whole intestine as a cause of recurrent gastrointestinal bleeding after high-dose chemotherapy.

    abstract::We present the first case in the literature of vascular ectasia of the whole intestine as a cause of recurrent and profuse gastrointestinal bleeding in a patient with relapsing Hodgkin's disease. The 17-year-old patient experienced early relapse of his Hodgkin's disease after first-line chemotherapy. Salvage chemother...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2006-925378

    authors: Schmidmaier R,Bittmann I,Götzberger M,Straka C,Meinhardt G,Eigler A

    更新日期:2006-09-01 00:00:00

  • Endoscopy of the cerebellopontine angle.

    abstract::Endoscopy of the pontine angle ("cisternoscopy") is a decisive diagnostic procedure in clarifying pathological processes in this region. Using a retrolabyrinthal approach through the mastoid bone, the endoscopes are inserted in the pontine angle for direct inspection. In the present study the method and the diagnostic...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098305

    authors: Ehrenberger K

    更新日期:1978-11-01 00:00:00

  • Didactic training vs. computer-based self-learning in the prediction of diminutive colon polyp histology by trainees: a randomized controlled study.

    abstract::Background and study aim Experts can accurately predict diminutive polyp histology, but the ideal method to train nonexperts is not known. The aim of the study was to compare accuracy in diminutive polyp histology characterization using narrow-band imaging (NBI) between participants undergoing classroom didactic train...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0043-116015

    authors: Khan T,Cinnor B,Gupta N,Hosford L,Bansal A,Olyaee MS,Wani S,Rastogi A

    更新日期:2017-12-01 00:00:00

  • Favorable long-term outcomes of endoscopic submucosal dissection for locally recurrent early gastric cancer after endoscopic resection.

    abstract:BACKGROUND AND STUDY AIM:Close observation after noncurative endoscopic resection for early gastric cancer (EGC) is an acceptable option if a positive horizontal margin or piecemeal resection of differentiated-type adenocarcinoma is the only noncurative factor. When locally recurrent EGC is subsequently detected, endos...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0033-1344332

    authors: Sekiguchi M,Suzuki H,Oda I,Abe S,Nonaka S,Yoshinaga S,Taniguchi H,Sekine S,Kushima R,Saito Y

    更新日期:2013-09-01 00:00:00

  • Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thor

    abstract::This is an official guideline of the European Society of Gastrointestinal Endoscopy (ESGE), produced in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS). It addresses the benefit and burden associated with combined endobronchial and esophageal mediastinal nod...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0034-1392040

    authors: Vilmann P,Clementsen PF,Colella S,Siemsen M,De Leyn P,Dumonceau JM,Herth FJ,Larghi A,Vazquez-Sequeiros E,Hassan C,Crombag L,Korevaar DA,Konge L,Annema JT

    更新日期:2015-06-01 00:00:00

  • A new system for rapid large-caliber percutaneous transhepatic drainage in patients with obstructive jaundice: a prospective randomized trial.

    abstract:UNLABELLED:BACKGROUND AND STUDY, AIMS: Percutaneous access to the biliary tract is an important diagnostic and therapeutic tool in the management of biliary diseases. It is usually chosen when the endoscopic approach via endoscopic retrograde cholangiopancreatography (ERCP) fails, or is not possible. Once established, ...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2001-12814

    authors: Frimberger E,Vente T,Wagenpfeil S,Gerein P,Born P,Fritz N,Allescher HD,Ott R,Weigert N,Classen M,Rösch T

    更新日期:2001-03-01 00:00:00

  • Ulcers and gastritis.

    abstract::This article reviews recently published literature regarding ulcers and gastritis. Although endoscopy is the most useful procedure for diagnosis in the upper gastrointestinal tract, complications do occur, and procedure-related costs are significant. The appropriate indication for endoscopy has recently been debated. ...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-36397

    authors: Kashiwagi H

    更新日期:2003-01-01 00:00:00

  • A variant of an accessory common bile duct.

    abstract::While variations of the common bile duct are relatively common, true duplication of the common bile duct is very rare. Such deviation from normal anatomy, if unrecognized, may cause problems during surgical intervention. Here we present a case of a unique variant of an accessory bile duct which arises from the conflue...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-7033

    authors: Leung B,Lai P,Chan A,Chan YL,Lau WY

    更新日期:2000-09-01 00:00:00

  • Endoscopy-assisted emergency treatment of gastroduodenal and pancreatobiliary ascariasis.

    abstract::Five patients with gastrointestinal tract and pancreatobiliary ascariasis presenting as emergency cases are reported here. Two patients presented with hematemesis due to gastric ascariasis, one with abdominal pain due to duodenal ascariasis, and one each with biliary and pancreatic ascariasis manifesting as acute chol...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005560

    authors: Misra SP,Dwivedi M

    更新日期:1996-09-01 00:00:00

  • Stent migration requiring surgical removal: a serious adverse event after bariatric megastent placement.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0725-7718

    authors: Madruga Neto AC,Brunaldi VO,Okazaki O,Santo Filho MA,Miranda Neto AA,Anapaz VL,de Moura EGH

    更新日期:2018-12-01 00:00:00

  • Is ERCP a reasonable diagnostic method for excluding pancreatic and hepatobiliary disease in patients with a Billroth II resection?

    abstract::ERCP was performed in 57 patients who had undergone Billroth II resection. Cannulation of the papilla of Vater was successfully accomplished in 31 cases (55%). The success rate of ERCP was clearly dependent on the type of Billroth II resection presenting. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021476

    authors: Thon HJ,Löffler A,Buess G,Gheorghiu T

    更新日期:1983-05-01 00:00:00

  • Upper gastrointestinal hemorrhage secondary to erosion of a biliary Wallstent in a woman with pancreatic cancer.

    abstract::A 77-year-old patient with unresectable pancreatic adenocarcinoma sustained a life-threatening, upper gastrointestinal hemorrhage 1 month after placement of a biliary Wallstent. Radiographic and endoscopic studies revealed a choledocho-arterio-enteric fistula caused by erosion of the stent through the posterior duoden...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-4662

    authors: Gardiner MF,Long WB,Haskal ZJ,Lichtenstein GR

    更新日期:2000-08-01 00:00:00

  • Preclinical evaluation of an endoscopic electroporation system.

    abstract:BACKGROUND AND STUDY AIMS:Targeted delivery of specific chemotherapeutic drugs into tumors can be achieved by delivering electrical pulses directly to the tumor tissue. This causes a transient formation of pores in the cell membrane that enables passive diffusion of normally impermeant drugs. A novel device has been de...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-101343

    authors: Forde PF,Sadadcharam M,Bourke MG,Conway TA,Guerin SR,de Kruijf M,O'Sullivan GC,Impellizeri J,Clover AJP,Soden DM

    更新日期:2016-05-01 00:00:00

  • Capsule endoscopy in patients with suspected Crohn's disease and negative endoscopy.

    abstract:BACKGROUND AND STUDY AIMS:The aim of the present study was to assess the value of capsule endoscopy in the diagnostic work-up of patients in whom there is a clinical suspicion of small bowel Crohn's disease that cannot be confirmed using traditional techniques. PATIENTS AND METHODS:A total of 21 patients (14 men, seve...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2003-40241

    authors: Herrerías JM,Caunedo A,Rodríguez-Téllez M,Pellicer F,Herrerías JM Jr

    更新日期:2003-07-01 00:00:00

  • Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of sarcoidosis.

    abstract:BACKGROUND AND STUDY AIMS:Transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of mediastinal lymph nodes is increasingly used to detect noncaseating granulomas in patients with suspected sarcoidosis. The optimal needle size and tissue processing method for detecting noncaseating granulomas are...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243890

    authors: von Bartheld MB,Veseliç-Charvat M,Rabe KF,Annema JT

    更新日期:2010-03-01 00:00:00

  • Endoscopic submucosal dissection of early colorectal tumors using a grasping-type scissors forceps: a preliminary clinical study.

    abstract::To reduce the risk of complications related to endoscopic submucosal dissection (ESD), we developed a new grasping-type scissors forceps (GSF), which can grasp and incise the targeted tissue using an electrosurgical current. We prospectively evaluated the efficacy and safety of ESD using GSF for the removal of colorec...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243973

    authors: Akahoshi K,Okamoto R,Akahane H,Motomura Y,Kubokawa M,Osoegawa T,Nakama N,Chaen T,Oya M,Nakamura K

    更新日期:2010-05-01 00:00:00

  • Patients' willingness to defer resection of diminutive polyps: results of a multicenter survey.

    abstract::BACKGROUND AND STUDY AIMS : Current colonoscopy practice requires removal of diminutive polyps. This is associated with costs, but the benefits to colorectal cancer (CRC) prevention remain unclear. The study aim was to understand patients' willingness to defer resection of diminutive polyps and to examine the factors ...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0043-121221

    authors: von Renteln D,Bouin M,Barkun AN,Weber A,Robertson DJ,Anderson JC,Pohl H

    更新日期:2018-03-01 00:00:00

  • Gastric lipid islands in the gastric stump and in non-operated stomach.

    abstract::The lipid islands in the gastric mucosa are small, well delimited white or yellowish-white patches varying in diameter from 0.5 to 3 millimeters. Microscopically they constitute accumulations of macrophages full of lipids. This endoscopic and histological finding was observed in 0.38% of patients who had not undergone...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021711

    authors: Terruzzi V,Minoli G,Butti GC,Rossini A

    更新日期:1980-03-01 00:00:00

  • Endoscopic ultrasound-guided bile duct access for rendezvous ERCP drainage in the setting of intradiverticular papilla.

    abstract::Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-861250

    authors: Lai R,Freeman ML

    更新日期:2005-05-01 00:00:00

  • Familial varices of the small and large bowel.

    abstract::Two familial cases of varices confined to the small and the large bowel are reported. Both patients were diagnosed in advanced age because of recurrent intestinal bleeding. The study of the entire gastrointestinal tract revealed an unexpected wide involvement and the primary nature of the varices. Moreover, both patie...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010283

    authors: Morini S,Caruso F,De Angelis P

    更新日期:1993-02-01 00:00:00

  • Laparoscopy-assisted endoscopic full-thickness resection of gastric subepithelial tumors using a nonexposure technique.

    abstract::Background and study aims: To avoid bacterial contamination and tumor seeding during gastrectomy surgery, we developed a nonexposure technique for endoscopic full-thickness resection with laparoscopic assistance. The feasibility and safety of nonexposed endoscopic wall-inversion surgery (NEWS) for gastric subepithelia...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-111000

    authors: Goto O,Takeuchi H,Sasaki M,Kawakubo H,Akimoto T,Fujimoto A,Ochiai Y,Maehata T,Nishizawa T,Kitagawa Y,Yahagi N

    更新日期:2016-11-01 00:00:00

  • Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis.

    abstract:BACKGROUND AND STUDY AIMS:Many studies have reported on laterally spreading tumors (LSTs), but systematic reviews of the data to determine their risk of containing submucosal invasion (SMI) are lacking. We systematically screened and analyzed the available literature to provide a more solid basis for evidence-based tre...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0043-121144

    authors: Bogie RMM,Veldman MHJ,Snijders LARS,Winkens B,Kaltenbach T,Masclee AAM,Matsuda T,Rondagh EJA,Soetikno R,Tanaka S,Chiu HM,Sanduleanu-Dascalescu S

    更新日期:2018-03-01 00:00:00

  • Recurrence of subsquamous dysplasia and carcinoma after successful endoscopic and radiofrequency ablation therapy for dysplastic Barrett's esophagus.

    abstract::Barrett's esophagus with dysplasia is commonly treated with radiofrequency ablation (RFA). Despite its effectiveness, a concern of any ablative technique is the development of subsquamous intestinal metaplasia, which could have potential for future neoplastic progression. To date, 34 cases of subsquamous neoplasia hav...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0032-1326419

    authors: Lee JK,Cameron RG,Binmoeller KF,Shah JN,Shergill A,Garcia-Kennedy R,Bhat YM

    更新日期:2013-07-01 00:00:00

  • Gastric ulcer perforation into the heart.

    abstract::Penetration of the pericardium and heart is a very rare complication of benign peptic ulcer. The case is reported here of a 76-year-old woman with advanced senile dementia, who was admitted due to melena. Endoscopy revealed a large gastric ulcer located in a giant hiatal hernia. The ulcer base was protruding and stron...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005463

    authors: Brullet E,Campo R,Combalía N,Marqués G,Armengol-Miró JR

    更新日期:1996-03-01 00:00:00

  • A novel and effective delivery method for polyglycolic acid sheets to post-endoscopic submucosal dissection ulcers.

    abstract::Background and aims Shielding methods for post-endoscopic submucosal dissection (ESD) ulcers have delivery-related problems. We developed an enveloped device for this purpose and evaluated its usefulness. Materials and methods Polyglycolic acid (PGA) sheets were delivered to six 3.0-cm ulcers in two resected porcine s...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-120997

    authors: Takao T,Takegawa Y,Ono H,Takao M,Oka S,Shinya N,Kutsumi H,Azuma T

    更新日期:2017-04-01 00:00:00