Esophageal perforation in eosinophilic esophagitis: five cases in children

Autor: Jean-Louis Stephan, Sophie Heissat, Laurent Michaud, Valérie Triolo, Hugues Patural, Camille Donnet, Sylvie Destombe, Alain Lachaux
Přispěvatelé: Laboratoire Hubert Curien [Saint Etienne] (LHC), Institut d'Optique Graduate School (IOGS)-Université Jean Monnet [Saint-Étienne] (UJM)-Centre National de la Recherche Scientifique (CNRS), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL), Centre Hospitalier Universitaire de Lille (CHU de Lille), Centre Hospitalier Universitaire de Saint-Etienne (CHU de Saint-Etienne)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Endoscopy international open
Endoscopy international open, 2020, 8 (7), pp.E830--e833. ⟨10.1055/a-0914-2711⟩
Endoscopy International Open, Vol 08, Iss 07, Pp E830-E833 (2020)
Endoscopy International Open
Popis: Background and study aims Eosinophilic esophagitis (EoE) is a chronic immune disease with increasing incidence. It is clinically defined by symptoms of esophageal dysfunction and histologically by eosinophilic polynuclear cell infiltration of the esophageal mucosa. Symptoms are not specific and include gastroesophageal reflux disease (GERD), dysphagia, vomiting or dietary blockages. Chronic inflammation of the mucosa may lead to narrowing of the esophageal lumen responsible for impactions. Extraction procedures can be complicated by dissection and perforation. Rare spontaneous ruptures of the esophagus known as Boerhaave syndrome are also possible. We report five cases of esophageal perforation in children with EoE, three with spontaneous rupture and two after an endoscopic procedure. The evolution was favorable under medical treatment.
Databáze: OpenAIRE