Esophagitis other imaging findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Esophagitis}} | {{Esophagitis}} | ||
{{CMG}} | {{CMG}} ; {{AE}} | ||
== | ==Overview== | ||
==Endoscopic Findings== | |||
===Reflux esophagitis=== | ===Reflux esophagitis=== | ||
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*However, because these [[Endoscopy|endoscopic]] features have been described in other [[esophageal]] [[disorders]], none can be considered [[pathognomonic]] for EoE. | *However, because these [[Endoscopy|endoscopic]] features have been described in other [[esophageal]] [[disorders]], none can be considered [[pathognomonic]] for EoE. | ||
==References== | ==References== | ||
Revision as of 18:21, 24 January 2018
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Risk calculators and risk factors for Esophagitis other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief:
Overview
Endoscopic Findings
Reflux esophagitis
- The endoscope has been before one of the diagnostic tools for GERD.
- Endoscopy is not recommended now for the diagnosis of GERD with the typical symptoms, however, it is used in screening for the GERD complications as esophagitis, esophageal strictures, and barrett's esophagus.[1]
- Endoscopy is also beneficial in doing biopsies in the screening of barrett's esophagus.
Eosinophilic esophagitis
- Mucosal biopsies of the esophagus should be obtained in all patients in whom EoE is a clinical possibility regardless of the endoscopic appearance.
- Endoscopic abnormalities in patients with EoE are as follows:[2][3][4][5][6]
- Fixed esophageal ring which is corrugated
- White exudate
- Longitudinal furrows
- Mucosal pallor
- Diffuse esophageal narrowing
- Mucosal fragility leading to esophageal lacerations during the endoscopy
- However, because these endoscopic features have been described in other esophageal disorders, none can be considered pathognomonic for EoE.
References
- ↑ Katz, Philip O; Gerson, Lauren B; Vela, Marcelo F (2013). "Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease". The American Journal of Gastroenterology. 108 (3): 308–328. doi:10.1038/ajg.2012.444. ISSN 0002-9270.
- ↑ 44</a>)">"Table 3: Proposed classification and grading system for the endoscopic assessment of the esophageal features of eosinophilic esophagitis (<a id=ref-link-section-1 title="" href=/articles/#ref44>44</a>)".
- ↑ "Vertical lines in distal esophageal mucosa (VLEM): a true endoscopic manifestation of esophagitis in children? - PubMed - NCBI".
- ↑ "Fragility of the esophageal mucosa: a pathognomonic endoscopic sign of primary eosinophilic esophagitis? - PubMed - NCBI".
- ↑ "Eosinophilic esophagitis: red on microscopy, white on endoscopy. - PubMed - NCBI".
- ↑ "The prevalence and diagnostic utility of endoscopic features of eosinophilic esophagitis: a meta-analysis. - PubMed - NCBI".