No abstract available.
Eosinophilic Esophagitis* ; Eosinophils* ; Humans ; Prevalence*

Eosinophilic esophagitis is a rare inflammatory disease of unknown origin. Its reported CT findings are circumferential wall thickening of the entire esophagus, with pleural effusion and ascites.
Ascites ; Eosinophilic Esophagitis* ; Eosinophils* ; Esophagus ; Pleural Effusion

No abstract available.
*Eosinophilia ; Eosinophilic Esophagitis ; Humans ; *Proton Pump Inhibitors

No abstract available.
Endoscopy ; Endosonography ; Eosinophilic Esophagitis ; Eosinophils ; Narrow Band Imaging

Over the last several years, eosinophilic esophagitis in adults is an increasingly recognized disease in various parts of world. A 77-year-old male with a gastric submucosal tumor was referred to our department for endoscopic ultrasonography. During the examination, there was some resistance in inserting the echoendoscope into the esophagus. Detailed endoscopic examination of the esophagus showed narrow lumen and scattered whitish plaques, and biopsy of the esophagus revealed more than 20 eosinophils per high-power field. We diagnosed this case as eosinophilic esophagitis and treated successfully by topical steroid. We report a case of eosinophilic esophagitis found incidentally during endoscopic ultrasonography for a gastric submucosal tumor.
Adult ; Aged ; Biopsy ; Endosonography ; Eosinophilic Esophagitis ; Eosinophils ; Esophagus ; Humans ; Male

No abstract available.
Adult ; Eosinophil-Derived Neurotoxin ; Eosinophilic Esophagitis ; Eosinophils ; Humans

The incidence of adult eosinophillic esophagitis has been on the increase greatly in recent years, but the disease has been rarely reported in Korea. Eosinophilic esophagitis is a chronic inflammatory disease causing dysphagia and food impaction. A round ring, longitudinal furrows and mucosal friability are the major findings seen by endoscopy. Eosionophilc esophagitis is confirmed by pathology when more than 20 eosinophils are found on microscopy with use of a high power field. We experienced three cases of eosinophilic esophagitis with complaints of dysphagia.
Adult ; Deglutition Disorders ; Endoscopy ; Eosinophilic Esophagitis ; Eosinophils ; Esophagitis ; Humans ; Incidence ; Korea ; Microscopy

Eosinophilic esophagitis (EoE) is a disorder characterized by isolated eosinophilic infiltration of the esophagus with esophageal symptoms. Although some patients with EoE are related to food hypersensitivity, it is hard to identify causative foods. This report describes a case of EoE with dysphagia. A 28-year-old man presented with dysphagia and substernal discomfort for 15 days. He had taken a protein complex for 2 months. Endoscopy showed several linear furrows and multiple mucosal nodularities on the lower and mid esophagus, and the biopsies of esophagus revealed marked eosinophil infiltration in the mucosa. The skin testing for the protein complex was positive. The patient was successfully treated with withholding treatment.
Adult ; Biopsy ; Deglutition Disorders ; Endoscopy ; Eosinophilic Esophagitis ; Eosinophils ; Esophagitis ; Esophagus ; Food Hypersensitivity ; Humans ; Mucous Membrane ; Skin Tests ; Withholding Treatment

There are many causes of chronic and/or recurrent vomiting. The differential diagnosis is sometimes difficult because the clinical manifestations are often similar with each other. In this review, common causes of chronic and/or recurrent vomiting, and a general approach to children with vomiting are described. The involuntary passage of ingested material from the stomach into the esophagus, gastroesophageal reflux (GER), is a common event in infants. GER-disease can arise when the refluxed material causes esophagitis, resulting in pain, impaired esophageal function, poor growth or some respiratory symptoms. Esophageal impedance-pH meter will be the golden standard test in these cases. Parental reassurance and dietary management are expected to be the important components of managing mild GER-disease. Eosinophilic esophagitis is a clinicopathological disease characterized by (1) Feeding intolerance and GER-disease symptoms in children; (2) >15 eosinophils/HPF; (3) Exclusion of other disorders associated with similar clinical, histological, or endoscopic features, especially GERD. Appropriate treatments include dietary approaches based upon eliminating exposure to food allergens, or topical corticosteroids. Cyclic vomiting syndrome (CVS), a paroxysmal, especially severe, recurrent vomiting disorder, may be second to GER-disease as a cause of recurrent vomiting in children. It is highly incapacitating brain-gut disorder. The different diagnosis of CVS cuts a broad swath across neurologic, gastrointestinal, renal, metabolic, and endocrinologic disorders. Treatment is divided between acute intervention, when a patient is actively and severe vomiting, and prophylactic treatment in their interictal phase, the goal of which is reducing frequency and intensity of subsequent episodes.
Adrenal Cortex Hormones ; Allergens ; Child ; Diagnosis, Differential ; Eosinophilic Esophagitis ; Esophagitis ; Esophagus ; Gastroesophageal Reflux ; Humans ; Infant ; Parents ; Stomach ; Vomiting

Approximately 25% of patients with typical gastroesophageal disease (GERD) symptoms do not respond to double dose of proton pump inhibitors (PPI), and might have refractory GERD. The causes of refractory GERD include poor compliance, esophageal motility disorder, duodeno-gastroesophageal reflux, eosinophilic esophagitis, nonacid reflux, functional heartburn, and inadequate acid suppression. when patient compliacne have been confirmed, it is reasonable to escalate to twice dose of PPI. Upper gastrointestinal endoscopy should be performed to rule out other disorders such as esophageal esophagitis, pill induced esophagitis, or esophageal involvement of autoimmune disorders. If symptoms persist despite double dose PPI, 24 hr pH-impedance monitoring, esophageal manometry, and scintigraphic gastric emptying scan may be required.
Compliance ; Endoscopy, Gastrointestinal ; Eosinophilic Esophagitis ; Esophageal Motility Disorders ; Esophagitis ; Gastric Emptying ; Gastroesophageal Reflux ; Heartburn ; Humans ; Manometry ; Proton Pump Inhibitors