Gouda Ahmed, El-Kassas Mohamed
Department of Gastroenterology NMC, Ruwais Hospital, Abu Dhabi 14638, United Arab Emirates.
Department of Endemic Medicine, Faculty of Medicine, Helwan University, Cairo 11795, Egypt.
World J Clin Cases. 2022 Jun 16;10(17):5841-5845. doi: 10.12998/wjcc.v10.i17.5841.
Barrett's esophagus is a known complication of long-standing gastroesophageal reflux disease, and it is a potential risk factor of developing esophageal adenocarcinoma.
Here, we present a case of a 47-year-old male patient referred to the gastroenterology clinic for upper endoscopy because he has a long-standing history of heartburn and vomiting after meals. On examination, he had characteristic findings of self-induced vomiting as abrasions and callosities on the dorsum of the right hand and dental erosions. A detailed history revealed that he had 17 years of binge eating with self-induced vomiting. His upper endoscopy showed gastroesophageal reflux grade D with salmon-red mucosal projections, and the biopsy revealed intestinal mucosal metaplasia.
This case emphasized the importance of considering upper endoscopy screening for Barrett's esophagus in patients with eating disorders, especially those with self-induced vomiting, as in bulimia nervosa.
巴雷特食管是长期胃食管反流病的一种已知并发症，也是发生食管腺癌的潜在危险因素。
在此，我们报告一例47岁男性患者，因长期有餐后烧心和呕吐病史而被转诊至胃肠病诊所进行上消化道内镜检查。检查时，他有自我诱导性呕吐的特征性表现，如右手背部的擦伤和胼胝以及牙齿侵蚀。详细病史显示他有17年的暴饮暴食并自我诱导性呕吐史。他的上消化道内镜检查显示为D级胃食管反流，伴有鲑鱼红色黏膜隆起，活检显示为肠黏膜化生。
该病例强调了对饮食失调患者，尤其是像神经性贪食症中自我诱导性呕吐的患者，考虑进行巴雷特食管上消化道内镜筛查的重要性。
