Abstract

GORI, Hugo et al. Hallazgos endoscópicos - morfológicos en la esofagitis eosinofílica. Gen [online]. 2010, vol.64, n.4, pp.332-334. ISSN 0016-3503.

Eosinophilic esophagitis is a recently-described condition that may be present at any age and currently is the most common cause of dysfagia and food impactation in adults; other symptoms include heartburn, nausea, vomits, and retrosternal pain. Diagnosis begins with the clinical suspicion; however, the physician strongly relies on endoscopic and morphological findings for obtaining the diagnosis in patients with this entity. Purpose: Describing the endoscopic and morphological findings in patients with eosinophilic esophagitis. Materials and Methods: A cross-sectioned retrospective descriptive analysis was performed. 7 patients were included, who had a clinical record that suggested eosinophilic esophagitis. An upper digestive endoscopy was performed in these patients to look for the endoscopic findings reported for this entity - such as longitudinal grooves, concentric rings - and biopsy samples were taken of all the esophageal segments, and the histological morphological diagnosis was obtained in the presence of basal layer hyperplasia, presence of intraepithelial eosinophils, and a count higher than 24 eosinophils per higher power field (40x). Results: 86% of patients were males between ages ranging from 21 and 43. The clinical setting evolution was 1-72 months, and the more-commonly present symptoms were: dysfagia (100%), heartburn (71.4%), and food impactation (57.1%). The most frequent findings were longitudinal grooves (100%), and concentric rings (71.4%); narrowness was found in one patient only. All patients in the study showed basal layer hyperplasia, intraepithelial eosinophils, and increased count of eosinophils. Conclusions: Endoscopic and morphological findings allow to obtaining the eosinophilic esophagitis diagnosis in patients whose clinical record suggests this entity.

Keywords : Esophagitis; Eosinophils; Upper Digestive Endoscopy; Esophageal Biopsy.