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Erschienen in: Abdominal Radiology 3/2020

01.01.2020 | Review

Eosinophilic esophagitis: imaging features with endoscopic and pathologic correlation

verfasst von: Patricia V. Hernandez, Syed Amer, Dora M. Lam-Himlin, David J. DiSantis, Christine O. Menias, Jennifer L. Horsley-Silva

Erschienen in: Abdominal Radiology | Ausgabe 3/2020

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Abstract

Objective

We aim to review the imaging features of eosinophilic esophagitis on fluoroscopy and present how they can correlate with endoscopic and pathologic findings.

Results

Eosinophilic esophagitis is a chronic immune-mediated disease that results in esophageal dysfunction. Upper esophagogastroduodenoscopy is high yield and required for biopsies to demonstrate the hallmark histologic findings of eosinophil-predominant inflammation. While esophagogastroduodenoscopy is currently mandatory for diagnosis, imaging findings can provide valuable information regarding the structural and functional properties of the esophagus. In addition, fluoroscopic studies may be very helpful in the setting of subtle findings and to evaluate fibrotic remodeling changes.

Conclusion

Radiologic examinations are a valuable tool in the assessment of eosinophilic esophagitis and can highlight changes of fibrostenotic disease, as overall narrowing can be more conspicuous fluoroscopically than endoscopically. As the disease increases in prevalence, it is critical that physicians recognize this condition and facilitate diagnosis and treatment.
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Metadaten
Titel
Eosinophilic esophagitis: imaging features with endoscopic and pathologic correlation
verfasst von
Patricia V. Hernandez
Syed Amer
Dora M. Lam-Himlin
David J. DiSantis
Christine O. Menias
Jennifer L. Horsley-Silva
Publikationsdatum
01.01.2020
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 3/2020
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-019-02374-9

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