Abstract
A 76-year-old patient presents multiple comorbidities and gastrointestinal symptoms. The upper gastrointestinal endoscopy exam reveals distal stiffness esophageal mucosa. A biopsy was taking creating sloughing of 20 mm long by 6 mm wide with self-limited bleeding. Specimen is compatible with Esophagitis Dissecans Superficialis (EDS). This is a rare entity first described in 1800, characterized endoscopically by mucosal detachment in vertical strips like "gift paper tape", which is confirmed by pathology with a mucosa with "two tones", composed of a eosinophilic superficial layer and a normal-appearing basophilic area. It may be accompanied by minimal focal inflammation. The etiopathogenesis is not clear; however, it has a good response to proton pump inhibitors (PPIs). In our case, the patient presented all the characteristics of EDS, and given its low reported frequency, a review of the literature and discussion of this rare entity was performed.
| Translated title of the contribution | Esophagitis dissecans superficialis: subdiagnosed entity in multi-morbid patients |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 199-202 |
| Number of pages | 4 |
| Journal | Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru |
| Volume | 42 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1 Jul 2022 |