Ringed esophagus: all that glitters is not gold

Authors

DOI:

https://doi.org/10.47892/rgp.2024.444.1776

Keywords:

Esophagitis, Dysphagia, Intraepithelial Lymphocytes, Endoscopy

Abstract

We report the case of an elderly patient with progressive dysphagia to solids and later to liquids, and weight loss. The patient underwent an upper endoscopy, which showed multiple stenoses and trachealization. Biopsies were taken and a diagnosis of lymphocytic esophagitis was made. Pneumatic dilation to 12 mm was performed, and the patient recovered with no recurring symptoms. Dysphagia in the elderly should not be overlooked, and physicians should consider lymphocytic esophagitis as a differential diagnosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Thiyagalingam S, Kulinski AE, Thorsteinsdottir B, Shindelar KL, Takahashi PY. Dysphagia in Older Adults. Mayo Clinic Proceedings. 2021;96(2):488-97. doi: 10.1016/j.mayocp.2020.08.001.

Clavé P, Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol. 2015;12(5):259-70. doi: 10.1038/nrgastro.2015.49.

Ghazaleh S, Patel K. Esophageal Webs and Rings. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.

Dellon ES, Jensen ET, Martin CF, Shaheen NJ, Kappelman MD. Prevalence of Eosinophilic Esophagitis in the United States. Clin Gastroenterol Hepatol. 2014;12(4):589-96.e1. doi: 10.1016/j.cgh.2013.09.008.

Muir A, Falk GW. Eosinophilic Esophagitis: A Review. JAMA. 2021;326(13):1310-1318. doi: 10.1001/jama.2021.14920.

Dellon ES, Liacouras CA, Molina-Infante J, Furuta GT, Spergel JM, Zevit N, et al. Updated International Consensus Diagnostic Criteria for Eosinophilic Esophagitis: Proceedings of the AGREE Conference. Gastroenterology. 2018;155(4):1022-1033. e10. doi: 10.1053/j.gastro.2018.07.009.

Aleem A, Tian C. Lymphocytic Esophagitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.

Zaver HB, Ghoz H, Malviya BJ, Brahmbhatt B, Palmer WC, Lacy BE, et al. Lymphocytic Esophagitis: Assessing Risk Factors and Clinical Outcomes. Dig Dis Sci. 2021;66(11):3976-84. doi: 10.1007/s10620-020-06706-4.

Pittman ME. Lymphocytic Esophagitis: Current Understanding and Controversy. Am J Surg Pathol. 2022;46(1):e55-e63. doi: 10.1097/PAS.0000000000001667.

Rouphael C, Gordon IO, Thota PN. Lymphocytic esophagitis: Still an enigma a decade later. World J Gastroenterol. 2017;23(6):949-956. doi: 10.3748/wjg.v23.i6.949.

Cohen S, Saxena A, Waljee AK, Piraka C, Purdy J, Appelman H, et al. Lymphocytic Esophagitis: A Diagnosis of Increasing Frequency. J Clin Gastroenterol. 2012;46(10):828-32. doi: 10.1097/MCG.0b013e3182500de8.

Islam S, Lee A, Lampe G. Lymphocytic esophagitis: An Australian (Queensland) case series of a newly recognized mimic of eosinophilic esophagitis. JGH Open. 2019;3(5):400-4. doi: 10.1002/jgh3.12175.

Downloads

Published

12/30/2024

How to Cite

1.
Freidenson-Bejar J, Bellido-Caparo A, Tagle M. Ringed esophagus: all that glitters is not gold. Rev Gastroenterol Peru [nternet]. 2024 Dec. 30 [cited 2025 Jan. 15];44(4):388-90. vailable from: https://revistagastroperu.com/index.php/rgp/article/view/1776

Issue

Section

REPORTES DE CASOS

Most read articles by the same author(s)

1 2 > >>