Long-lasting effect of endoscopic dilatation of an esophageal stenosis due to eosinophilic esophagitis

Eosinophilic esophagitis is a rare disorder mainly affecting pediatric patients, although the number of cases reported in adults, especially young males with dysphagia, is on the increase. The most severe complication is esophageal stenosis. We report the case of a 26 year old white male who presented with dysphagia in 2001. Endoscopy revealed an esophageal stenosis 35 cm aboral without signs of mucosal inflammation, that was dilated once. The patient was asymptomatic until 2004, when he presented again with dysphagia. Eosinophilic esophagitis was diagnosed. Dilatation was repeated. The further clinical course was uneventful with no more episodes of dysphagia.