雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Eosinophlic Esophagitis, Report of a Case Yasuhiko Maruyama 1 , Masanobu Kageoka 1 , Akihiko Ohata 1 , Kentaro Ikeya 1 , Masashi Mori 1 , Teruyuki Shimura 1 , Shinsuke Sato 2 , Shigeyasu Makita 2 , Kenji Koda 3 , Fumitoshi Watanabe 4 , Hiroyuki Hanai 4 1Department of Gastroenterology, Fujieda Municipal General Hospital, Fujieda, Japan 2Department of Radiology, Fujieda Municipal General Hospital, Fujieda, Japan 3Department of Pathology, Fujieda Municipal General Hospital, Fujieda, Japan 4Hamamatsu South Hospital, IBD Center, Hamamatsu, Japan Keyword: 好酸球性食道炎 , 逆流性食道炎 , NBI拡大内視鏡 , ステロイド吸入療法 pp.1537-1543
Published Date 2011/9/25
DOI https://doi.org/10.11477/mf.1403102361
  • Abstract
  • Look Inside
  • Reference
  • Cited by

 A 44-year-old man had been treated with PPI(proton pump inhibitor)under diagnosis of reflux esophagitis, but mild dysphagia had continued. Follow-up upper gastrointestinal endoscopy revealed mucosal rings, linear furrows, loss of vascularity, and whitish exudates in a granular pattern. NBI(narrow band imaging)magnifying endoscopy revealed decreased IPCL(intra-epithelial papillary capillary loop). The patient was diagnosed as EE(eosinophilic esophagitis)based on biopsy specimens showing marked esophageal eosinophilia. After treatment of inhaled steroid, endoscopic findings were improved and esophageal eosinophilia disappeared pathologically. EE which have similar symptoms to GERD(gastroesophageal reflux disease)is not well recognized among endoscopists yet. EE may be confused with GERD which is refractory to PPI. Endoscopists must become aware of EE and biopsy specimen should be obtained from different esophageal locations along the length when EE is suspected.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有