Oesophagite à éosinophiles [Eosinophilic esophagitis].

Détails

ID Serval
serval:BIB_8B0EDDB56F91
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Oesophagite à éosinophiles [Eosinophilic esophagitis].
Périodique
Revue Médicale Suisse
Auteur(s)
Odman M., Bart P.A.
ISSN
1660-9379[print], 1660-9379[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
6
Numéro
265
Pages
1854-6, 1858
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Résumé
Eosinophilic esophagitis is a recent diagnosis, of growing interest and prevalence. It has to be considered by every physician when facing any adult or pediatric case of dysphagia, food impaction, and symptoms of GERD (gastroesophageal reflux disease) resistant to proton-pump inhibitor treatment. The diagnosis is made by combining clinical symptoms and endoscopic signs, supported by biopsies of the mucosa, which should show more than 15 eosinophils per high power field. The etiology seems to be of allergic origin, and a full immuno-allergic testing should be made. Recommendations for the treatment are to calm down the inflammatory process by proton-pump inhibitors, and to give topical steroids, keeping the systemic treatment for acute severe cases. In cases of esophageal stenoses, dilations can be undertaken, but with a high risk of recurrence.
Mots-clé
Diagnosis, Differential, Eosinophilic Esophagitis/diagnosis, Eosinophilic Esophagitis/epidemiology, Humans
Pubmed
Création de la notice
24/01/2011 15:24
Dernière modification de la notice
03/03/2018 19:11
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