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并存的嗜酸性粒细胞性食管炎和发育异常的巴雷特食管,射频消融术后新鳞状黏膜出现快速嗜酸性粒细胞浸润。

Coexistent Eosinophilic Esophagitis and Dysplastic Barrett's Esophagus With Rapid Eosinophilic Infiltration of Neosquamous Mucosa After Radiofrequency Ablation.

作者信息

Ameyaw Prince A, Parsons David, Mahmoud Ali, Marie Robert, Nagar Anil, Aslanian Harry R

机构信息

Department of Medicine, Bridgeport Hospital/Yale New Haven Health, Bridgeport, CT.

Section of Digestive Diseases, Yale School of Medicine, New Haven, CT.

出版信息

ACG Case Rep J. 2024 Aug 29;11(9):e01488. doi: 10.14309/crj.0000000000001488. eCollection 2024 Sep.

Abstract

The coexistence of eosinophilic esophagitis (EoE) and Barrett's esophagus (BE) is rare despite the known association of gastroesophageal reflux disease with both conditions. Radiofrequency ablation is an effective endoscopic eradication therapy in patients with dysplastic BE. However, the efficacy and outcomes of radiofrequency ablation in patients with concomitant EoE and BE are not well known. We report a case of rapid eosinophilic infiltration of the neosquamous mucosa after the complete eradication of long-segment dysplastic BE in a patient with coexisting BE and EoE.

摘要

尽管已知胃食管反流病与嗜酸性食管炎(EoE)和巴雷特食管(BE)均有关联,但EoE与BE并存的情况较为罕见。射频消融是治疗发育异常的BE患者的一种有效的内镜根除疗法。然而,对于同时患有EoE和BE的患者,射频消融的疗效和结果尚不清楚。我们报告了一例同时患有BE和EoE的患者,在长段发育异常的BE完全根除后,新鳞状黏膜迅速出现嗜酸性粒细胞浸润的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/5cf2afdfd2d6/ac9-11-e01488-g001.jpg

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