Berrospi Castillo Diego, Kapsoli María Del Carmen, Benites Goñi Harold E
Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
Universidad San Ignacio de Loyola. Lima, Perú.
Rev Gastroenterol Peru. 2022 Jul-Sep;42(3):199-202.
A 76-year-old patient presents multiple comorbidities and gastrointestinal symptoms. The upper gastrointestinal endoscopy exam reveals distal stiffness esophageal mucosa. A biopsy was taking creating sloughing of 20 mm long by 6 mm wide with self-limited bleeding. Specimen is compatible with Esophagitis Dissecans Superficialis (EDS). This is a rare entity first described in 1800, characterized endoscopically by mucosal detachment in vertical strips like "gift paper tape", which is confirmed by pathology with a mucosa with "two tones", composed of a eosinophilic superficial layer and a normal-appearing basophilic area. It may be accompanied by minimal focal inflammation. The etiopathogenesis is not clear; however, it has a good response to proton pump inhibitors (PPIs). In our case, the patient presented all the characteristics of EDS, and given its low reported frequency, a review of the literature and discussion of this rare entity was performed.
一名76岁患者存在多种合并症及胃肠道症状。上消化道内镜检查显示食管远端黏膜僵硬。进行了活检，造成了一处长20毫米、宽6毫米的组织脱落，并伴有自限性出血。标本符合浅表性剥脱性食管炎（EDS）。这是一种罕见病症，于1800年首次被描述，内镜特征为黏膜呈垂直条带状脱落，类似“礼品纸带”，病理检查证实黏膜有“两种色调”，由嗜酸性表层和外观正常的嗜碱性区域组成。它可能伴有轻微的局灶性炎症。病因发病机制尚不清楚；然而，它对质子泵抑制剂（PPI）反应良好。在我们的病例中，患者呈现出EDS的所有特征，鉴于其报道频率较低，我们对该罕见病症进行了文献回顾及讨论。
