Esofagitis disecante superficial: entidad subdiagnosticada en pacientes pluripatológicos

Translated title of the contribution: Esophagitis dissecans superficialis: subdiagnosed entity in multi-morbid patients

Diego Berrospi Castillo, María Del Carmen Kapsoli, Harold E. Benites Goñi

Research output: Contribution to journalArticlepeer-review


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 contributionEsophagitis dissecans superficialis: subdiagnosed entity in multi-morbid patients
Original languageSpanish
Pages (from-to)199-202
Number of pages4
JournalRevista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
Issue number3
StatePublished - 1 Jul 2022


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