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Clinical Features and Prognosis of Eosinophilic Esophagitis Cases Diagnosed by Upper GI Endoscopic Screening Kyoichi Adachi 1 , Mayumi Okada 1 , Tomoko Mishiro 1 , Eiko Okimoto 2 , Norihisa Ishimura 2 , Yoshikazu Kinoshita 2 1Health Center, Shimane Environment and Health Public Corporation, Matsue, Japan 2Second Department of Internal Medicine, Shimane University Faculty of Medicine, Izumo, Japan Keyword: 好酸球性食道炎 , 内視鏡診断 , 健診 , 頻度 , 特徴 pp.323-331
Published Date 2018/3/25
DOI https://doi.org/10.11477/mf.1403201307
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 Among 7,587 cases who were screened by upper GI endoscopic examination, thirty-six were diagnosed with eosinophilic esophagitis. Thus, its prevalence was 0.47%, and there were 32 and 4 male and female cases, respectively. Twenty-nine cases(81%)had some allergic disease, and 25(69%)had some upper GI symptoms, such as dysphagia and heartburn. Twelve of these 25 cases(48%)had shown some endoscopic findings of eosinophilic esophagitis in previous endoscopic examinations. Twenty-three of 30 cases(77%)were considered to be PPI(proton-pump inhibitor)-responsive esophageal eosinophilia(PPI-REE), and the other 7 cases were diagnosed as EE in the narrow sense. Disease recurrence was frequently observed after cessation of PPI administration in cases with PPI-REE.


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

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