Examination of clinical and endoscopic findings of eosinophilic esophagitis in our hospital and correspondence at the time of endoscopic screening of gastric cancer in population-based screening

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  • 当院における好酸球性食道炎の臨床像・内視鏡所見の検討および胃がん検診時の対応について

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Abstract

<p>Eosinophilic esophagitis (EoE) has been considered a rare disease in Japan, but the number of reports has been increasing in recent years. Endoscopic findings in screening endoscopy from December 2010 to January 2019 at our hospital and endoscopy findings characteristic of EoE and biopsy from esophageal epithelium 90 cases were diagnosed as suspected EoE (15 or more/HPF). Among them, 67 cases whose symptoms were confirmed were classified into the symptomatic and asymptomatic groups, and clinical images and endoscopic findings were examined. The clinical findings showed that compared with the asymptomatic group, the symptomatic group had a younger age at diagnosis and had more erosive reflux esophagitis. Endoscopic findings showed a significant increase in the concentric rings in the symptomatic group. The number of cases of EoE reported in recent years has increased, and it is assumed that the chance of encountering endoscopic findings characteristic of EoE will increase in the endoscopic screening of gastric cancer in population-based screening in the future. In that case, unnecessary biopsy should be avoided, but it is important to reconfirm the presence of symptoms and consider therapeutic intervention with EoE in mind.</p>

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