Eosinophilic Esophagitis in Patients with Refractory Gastroesophageal Reflux Disease
Background Eosinophilic esophagitis is among the causes of refractory reflux disease. Biopsy of esophagus is the gold standard for diagnosis. In this study we determined the frequency of eosinophilic esophagitis (EE) in refractory reflux cases referred to Motility Department of Shahid Beheshti Resea...
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| Veröffentlicht in: | Digestive diseases and sciences 2010, Vol.55 (1), p.28-31 |
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| creator | Foroutan, Mojgan Norouzi, Alireza Molaei, Mahsa Mirbagheri, Seyed Amir Irvani, Shahrokh Sadeghi, Amir Derakhshan, Faramarz Tavassoli, Samaneh Besharat, Sima Zali, Mohammadreza |
| description | Background Eosinophilic esophagitis is among the causes of refractory reflux disease. Biopsy of esophagus is the gold standard for diagnosis. In this study we determined the frequency of eosinophilic esophagitis (EE) in refractory reflux cases referred to Motility Department of Shahid Beheshti Research Center of Gastroenterology and Liver Disease, Tehran, Iran. Methods In this cross-sectional study, 68 cases with refractory reflux disease underwent endoscopy and had biopsies taken. Specimens were stained by hematoxylin and eosin and two independent pathologists confirmed the diagnosis of eosinophilic esophagitis. Results Mean (standard deviation, SD) age at diagnosis was 41.8 (10.94) years. All had allergy or atopy, and unknown dysphagia was noted for 66%. Endoscopic findings were as follows: esophagitis (33.3%), rings (33.3%), and whitish plaques (33.3%). Prevalence of eosinophilic esophagitis was 8.8% (N = 6; one man and five women). No statistical difference in demographic variables was found between eosinophilic esophagitis cases and others, except for history of atopy, food impaction, and endoscopic features (P value |
| doi_str_mv | 10.1007/s10620-008-0706-z |
| format | Article |
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Biopsy of esophagus is the gold standard for diagnosis. In this study we determined the frequency of eosinophilic esophagitis (EE) in refractory reflux cases referred to Motility Department of Shahid Beheshti Research Center of Gastroenterology and Liver Disease, Tehran, Iran. Methods In this cross-sectional study, 68 cases with refractory reflux disease underwent endoscopy and had biopsies taken. Specimens were stained by hematoxylin and eosin and two independent pathologists confirmed the diagnosis of eosinophilic esophagitis. Results Mean (standard deviation, SD) age at diagnosis was 41.8 (10.94) years. All had allergy or atopy, and unknown dysphagia was noted for 66%. Endoscopic findings were as follows: esophagitis (33.3%), rings (33.3%), and whitish plaques (33.3%). Prevalence of eosinophilic esophagitis was 8.8% (N = 6; one man and five women). No statistical difference in demographic variables was found between eosinophilic esophagitis cases and others, except for history of atopy, food impaction, and endoscopic features (P value <0.005). Conclusion Eosinophilic esophagitis should be considered in the differential diagnosis of any cases with refractory reflux who complain of chronic unexplained dysphagia, with history of recurrent food impaction, and atopy or abnormal endoscopic features.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-008-0706-z</identifier><identifier>PMID: 19241170</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Boston : Springer US</publisher><subject>Adult ; Biochemistry ; Biological and medical sciences ; Care and treatment ; Eosinophilia - complications ; Eosinophilia - diagnosis ; Esophagitis ; Esophagitis - complications ; Esophagitis - diagnosis ; Esophagoscopy ; Esophagus ; Esophagus - pathology ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastroesophageal reflux ; Gastroesophageal Reflux - etiology ; Hepatology ; Humans ; Hypersensitivity, Immediate - complications ; Male ; Medical research ; Medical sciences ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Oncology ; Original Article ; Other diseases. Semiology ; Transplant Surgery ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Digestive diseases and sciences, 2010, Vol.55 (1), p.28-31</ispartof><rights>Springer Science+Business Media, LLC 2009</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2010 Springer</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-b28720980022fc48660d381fd06d1ec97d55d2420fbd939ed66de1362437ec8d3</citedby><cites>FETCH-LOGICAL-c522t-b28720980022fc48660d381fd06d1ec97d55d2420fbd939ed66de1362437ec8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-008-0706-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-008-0706-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,4010,27902,27903,27904,41466,42535,51296</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22314695$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19241170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Foroutan, Mojgan</creatorcontrib><creatorcontrib>Norouzi, Alireza</creatorcontrib><creatorcontrib>Molaei, Mahsa</creatorcontrib><creatorcontrib>Mirbagheri, Seyed Amir</creatorcontrib><creatorcontrib>Irvani, Shahrokh</creatorcontrib><creatorcontrib>Sadeghi, Amir</creatorcontrib><creatorcontrib>Derakhshan, Faramarz</creatorcontrib><creatorcontrib>Tavassoli, Samaneh</creatorcontrib><creatorcontrib>Besharat, Sima</creatorcontrib><creatorcontrib>Zali, Mohammadreza</creatorcontrib><title>Eosinophilic Esophagitis in Patients with Refractory Gastroesophageal Reflux Disease</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background Eosinophilic esophagitis is among the causes of refractory reflux disease. Biopsy of esophagus is the gold standard for diagnosis. In this study we determined the frequency of eosinophilic esophagitis (EE) in refractory reflux cases referred to Motility Department of Shahid Beheshti Research Center of Gastroenterology and Liver Disease, Tehran, Iran. Methods In this cross-sectional study, 68 cases with refractory reflux disease underwent endoscopy and had biopsies taken. Specimens were stained by hematoxylin and eosin and two independent pathologists confirmed the diagnosis of eosinophilic esophagitis. Results Mean (standard deviation, SD) age at diagnosis was 41.8 (10.94) years. All had allergy or atopy, and unknown dysphagia was noted for 66%. Endoscopic findings were as follows: esophagitis (33.3%), rings (33.3%), and whitish plaques (33.3%). Prevalence of eosinophilic esophagitis was 8.8% (N = 6; one man and five women). No statistical difference in demographic variables was found between eosinophilic esophagitis cases and others, except for history of atopy, food impaction, and endoscopic features (P value <0.005). Conclusion Eosinophilic esophagitis should be considered in the differential diagnosis of any cases with refractory reflux who complain of chronic unexplained dysphagia, with history of recurrent food impaction, and atopy or abnormal endoscopic features.</description><subject>Adult</subject><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Eosinophilia - complications</subject><subject>Eosinophilia - diagnosis</subject><subject>Esophagitis</subject><subject>Esophagitis - complications</subject><subject>Esophagitis - diagnosis</subject><subject>Esophagoscopy</subject><subject>Esophagus</subject><subject>Esophagus - pathology</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastroesophageal reflux</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hypersensitivity, Immediate - complications</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Other diseases. 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Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastroesophageal reflux</topic><topic>Gastroesophageal Reflux - etiology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hypersensitivity, Immediate - complications</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Other diseases. Semiology</topic><topic>Transplant Surgery</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foroutan, Mojgan</creatorcontrib><creatorcontrib>Norouzi, Alireza</creatorcontrib><creatorcontrib>Molaei, Mahsa</creatorcontrib><creatorcontrib>Mirbagheri, Seyed Amir</creatorcontrib><creatorcontrib>Irvani, Shahrokh</creatorcontrib><creatorcontrib>Sadeghi, Amir</creatorcontrib><creatorcontrib>Derakhshan, Faramarz</creatorcontrib><creatorcontrib>Tavassoli, Samaneh</creatorcontrib><creatorcontrib>Besharat, Sima</creatorcontrib><creatorcontrib>Zali, Mohammadreza</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foroutan, Mojgan</au><au>Norouzi, Alireza</au><au>Molaei, Mahsa</au><au>Mirbagheri, Seyed Amir</au><au>Irvani, Shahrokh</au><au>Sadeghi, Amir</au><au>Derakhshan, Faramarz</au><au>Tavassoli, Samaneh</au><au>Besharat, Sima</au><au>Zali, Mohammadreza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic Esophagitis in Patients with Refractory Gastroesophageal Reflux Disease</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2010</date><risdate>2010</risdate><volume>55</volume><issue>1</issue><spage>28</spage><epage>31</epage><pages>28-31</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>Background Eosinophilic esophagitis is among the causes of refractory reflux disease. Biopsy of esophagus is the gold standard for diagnosis. In this study we determined the frequency of eosinophilic esophagitis (EE) in refractory reflux cases referred to Motility Department of Shahid Beheshti Research Center of Gastroenterology and Liver Disease, Tehran, Iran. Methods In this cross-sectional study, 68 cases with refractory reflux disease underwent endoscopy and had biopsies taken. Specimens were stained by hematoxylin and eosin and two independent pathologists confirmed the diagnosis of eosinophilic esophagitis. Results Mean (standard deviation, SD) age at diagnosis was 41.8 (10.94) years. All had allergy or atopy, and unknown dysphagia was noted for 66%. Endoscopic findings were as follows: esophagitis (33.3%), rings (33.3%), and whitish plaques (33.3%). Prevalence of eosinophilic esophagitis was 8.8% (N = 6; one man and five women). No statistical difference in demographic variables was found between eosinophilic esophagitis cases and others, except for history of atopy, food impaction, and endoscopic features (P value <0.005). Conclusion Eosinophilic esophagitis should be considered in the differential diagnosis of any cases with refractory reflux who complain of chronic unexplained dysphagia, with history of recurrent food impaction, and atopy or abnormal endoscopic features.</abstract><cop>Boston</cop><pub>Boston : Springer US</pub><pmid>19241170</pmid><doi>10.1007/s10620-008-0706-z</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Biochemistry Biological and medical sciences Care and treatment Eosinophilia - complications Eosinophilia - diagnosis Esophagitis Esophagitis - complications Esophagitis - diagnosis Esophagoscopy Esophagus Esophagus - pathology Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroenterology Gastroenterology. Liver. Pancreas. Abdomen Gastroesophageal reflux Gastroesophageal Reflux - etiology Hepatology Humans Hypersensitivity, Immediate - complications Male Medical research Medical sciences Medicine Medicine & Public Health Medicine, Experimental Oncology Original Article Other diseases. Semiology Transplant Surgery Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | Eosinophilic Esophagitis in Patients with Refractory Gastroesophageal Reflux Disease |
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