Risk of progression to eosinophilic esophagitis in patients with asymptomatic esophageal eosinophilia: A retrospective pilot study

JGH Open : an Open Access Journal of Gastroenterology and Hepatology
Fumiaki IshibashiRyu Tanaka

Abstract

As the number of patients with eosinophilic esophagitis (EoE) has increased worldwide, the likelihood of diagnosing esophageal eosinophilia (EE) in screening endoscopy has also increased. Many of these EE patients do not display any symptoms (i.e. they display asymptomatic EE: aEE), and the risk of aEE patients developing EoE has yet to be demonstrated. A total of 62 250 cases were found in the endoscopic registries of two digestive disease centers in the context of gastric cancer screening from April 2016 to August 2018, and these were reviewed. Thirty-seven aEE patients (0.059%) were found in the registries, and the histories of endoscopic findings and symptoms were successfully traced for 29 of them. While 11 aEE (37.9%) patients did not show any change in endoscopic findings, 18 (62.1%) exhibited exacerbation. A comparison of the two groups showed both relative youth and diffuse disease distribution to be independent risk factors for progression (P = 0.0034 and 0.0078, respectively). Of the 18 aEE patients whose findings showed progression, 6 developed EoE (5 (17.2%) developed proton-pump inhibitor (PPI)-responsive EoE, and only 1 (3.4%) developed PPI-resistant EoE). A comparison of the non-EoE and EoE groups showed relativ...Continue Reading

References

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Citations

Oct 6, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Philipp SchreinerAlex Straumann
Nov 23, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kathryn PetersonJohn C Fang
Mar 28, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Akihito NagaharaKazuhide Higuchi
Jun 8, 2021·Seminars in Immunopathology·Luc BiedermannPhilipp Schreiner

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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

SAS

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