Premium
Prevalence, clinical manifestations and endoscopic features of eosinophilic esophagitis: A pathological review in China
Author(s) -
SHI Yi Nan,
SUN Shi Jun,
XIONG Li Shou,
CAO Qing Hua,
CUI Yi,
CHEN Min Hu
Publication year - 2012
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/j.1751-2980.2012.00593.x
Subject(s) - medicine , eosinophilic esophagitis , dysphagia , gerd , gastroenterology , high power field , esophagitis , pathological , reflux esophagitis , reflux , dermatology , disease , surgery , immunohistochemistry
OBJECTIVE: We aimed to determine the prevalence of eosinophilic esophagitis (EoE) and define its clinical and endoscopic characteristics in Chinese patients. METHODS: Esophageal specimens obtained from January 2006 to December 2010 in the First Affiliated Hospital of Sun Yat‐sen University were reviewed, and the data on clinical characteristics and endoscopic findings of patients were obtained. Patients with eosinophils ≥15 per high power field (HPF) were identified as having EoE. RESULTS: A total of 12 patients met the criteria for EoE, establishing a prevalence of 0.34%. These patients presented with dysphagia (4/12, 33.3%), gastroesophageal reflux disease (GERD)‐like symptoms (3/12, 25.0%), abdominal pain (3/12, 25.0%) and others (2/12, 16.7%). The most common endoscopic finding was plaques (5/12, 41.7%), and other findings were irregular Z‐line (2/12, 16.7%), erosive esophagitis (2/12, 16.7%), white exudates (1/12, 8.3%), linear furrows (1/12, 8.3%), Schatzki ring (1/12, 8.3%), ulcers (1/12, 8.3%) and erythema (1/12, 8.3%). CONCLUSIONS: The prevalence of EoE was 0.34% in our patients. Clinicians should pay attention to patients manifested with dysphagia and GERD‐like symptomes with endosopic findings of white exudates, plaques, Schatzki ring and linear furrows.