Siafakas C G, Ryan C K, Brown M R, Miller T L
Division of Pediatric Gastroenterology and Nutrition, Children's Hospital at Strong, Strong Children's Research Center, Rochester, New York, USA.
Am J Gastroenterol. 2000 Jun;95(6):1572-5. doi: 10.1111/j.1572-0241.2000.02097.x.
Esophagitis may present endoscopically with erythema, edema, loss of vascular pattern, friability, and ulceration of the esophageal mucosa. Left untreated, chronic esophagitis may result in stricture formation. The presence of multiple concentric rings involving the entire esophagus has been cited as a chronic form of esophagitis. We present a case of an 8-yr-old boy with multiple concentric esophageal rings and histological evidence of eosinophilic esophagitis, who failed medical antireflux treatment and responded to an elimination diet.
食管炎在内镜下可表现为食管黏膜红斑、水肿、血管纹理消失、脆性增加及溃疡形成。若不治疗，慢性食管炎可能导致狭窄形成。整个食管出现多个同心圆样环被认为是食管炎的一种慢性形式。我们报告一例8岁男孩，患有多个食管同心圆样环且有嗜酸性粒细胞性食管炎的组织学证据，其抗反流药物治疗无效，但对饮食排除疗法有反应。
