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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.

DOI:10.14309/crj.0000000000001488
PMID:39221230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11361630/
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/f2e4/11361630/85bf0cb93151/ac9-11-e01488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/5cf2afdfd2d6/ac9-11-e01488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/3ed3d8f370e6/ac9-11-e01488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/85bf0cb93151/ac9-11-e01488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/5cf2afdfd2d6/ac9-11-e01488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/3ed3d8f370e6/ac9-11-e01488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e4/11361630/85bf0cb93151/ac9-11-e01488-g003.jpg

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本文引用的文献

1
A Case of Early Barrett's Adenocarcinoma With Eosinophilic Esophagitis.一例合并嗜酸性食管炎的早期巴雷特腺癌病例。
ACG Case Rep J. 2023 Oct 18;10(10):e01183. doi: 10.14309/crj.0000000000001183. eCollection 2023 Oct.
2
Barrett's Esophagus in Eosinophilic Esophagitis in Swiss Eosinophilic Esophagitis Cohort Study (SEECS).瑞士嗜酸性食管炎队列研究（SEECS）中嗜酸性食管炎患者的巴雷特食管
Dig Dis. 2023;41(5):695-707. doi: 10.1159/000531060. Epub 2023 May 24.
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Barrett Esophagus: A Review.巴雷特食管：综述。
JAMA. 2022 Aug 16;328(7):663-671. doi: 10.1001/jama.2022.13298.
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Eosinophilic Esophagitis: A Review.嗜酸性粒细胞性食管炎：综述。
JAMA. 2021 Oct 5;326(13):1310-1318. doi: 10.1001/jama.2021.14920.
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Updated International Consensus Diagnostic Criteria for Eosinophilic Esophagitis: Proceedings of the AGREE Conference.更新的嗜酸性粒细胞性食管炎国际共识诊断标准：AGREE 会议纪要。
Gastroenterology. 2018 Oct;155(4):1022-1033.e10. doi: 10.1053/j.gastro.2018.07.009. Epub 2018 Sep 6.
6
Radiofrequency Ablation of Barrett's Esophagus: Patient Selection, Preparation, and Performance.巴雷特食管的射频消融术：患者选择、准备及操作
Gastrointest Endosc Clin N Am. 2017 Jul;27(3):481-490. doi: 10.1016/j.giec.2017.02.010.
7
Outcomes of Radiofrequency Ablation for Dysplastic Barrett's Esophagus: A Comprehensive Review.发育异常的巴雷特食管的射频消融治疗结果：一项综述
Gastroenterol Res Pract. 2016;2016:4249510. doi: 10.1155/2016/4249510. Epub 2016 Dec 14.
8
Adverse Events After Radiofrequency Ablation in Patients With Barrett's Esophagus: A Systematic Review and Meta-analysis.射频消融治疗 Barrett 食管后不良事件：系统评价和荟萃分析。
Clin Gastroenterol Hepatol. 2016 Aug;14(8):1086-1095.e6. doi: 10.1016/j.cgh.2016.04.001. Epub 2016 Apr 9.
9
Radiofrequency ablation vs endoscopic surveillance for patients with Barrett esophagus and low-grade dysplasia: a randomized clinical trial.射频消融与内镜监测治疗 Barrett 食管伴低级别上皮内瘤变：一项随机临床试验。
JAMA. 2014 Mar 26;311(12):1209-17. doi: 10.1001/jama.2014.2511.
10
Esophageal eosinophilia after radiofrequency ablation for Barrett's esophagus.巴雷特食管射频消融术后的食管嗜酸性粒细胞增多症。
Dis Esophagus. 2013 Sep-Oct;26(7):674-7. doi: 10.1111/dote.12033. Epub 2013 Feb 5.