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Erschienen in: European Surgery 4/2016

01.08.2016 | case report

Esophagectomy for eosinophilic esophagitis

Case report and literature review

verfasst von: Tomoyuki Irino, Mavroudis Voultsos, Jon A. Tsai, Mats Lindblad, Magnus Nilsson, MD, PhD Ioannis Rouvelas

Erschienen in: European Surgery | Ausgabe 4/2016

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Summary

Background

Eosinophilic esophagitis (EoE) is a chronic allergen-driven disease in which eosinophilic infiltration of the esophagus results in fibrosis, causing symptoms of esophageal dysfunction. The natural history of EoE frequently results in progressive deterioration of patients’ quality of life. In selected cases, progressive manifestations of disease cannot be managed with the conventional treatment options, and patients therefore suffer from poor quality of life.

Methods

We present the case of a 27-year-old male patient whose therapy for long-standing EoE did not prevent his clinical deterioration, which in turn gradually led to worsening quality of life owing to the degree and extent of esophageal fibrosis-associated remodeling. The patient eventually underwent a combined thoracoscopic/laparoscopic esophagectomy as a last resort aimed at alleviating the severe esophageal dysfunction and poor quality of life that he experienced.

Results

The patient underwent a minimally invasive esophagectomy and recovered quickly, gaining weight as early as 4 weeks after surgery. The patient returned 5 months later complaining of dysphagia regarding solid food. Gastroscopy showed a mild anastomotic stenosis that was dilated to 18 mm. During follow-up, the patient gained 15 kg compared with his lowest body weight prior to surgery and has remained symptom free 2.5 years after his surgery.

Conclusion

Surgery can be considered as a last-resort option for managing the refractory manifestations of EoE and its complications.
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Metadaten
Titel
Esophagectomy for eosinophilic esophagitis
Case report and literature review
verfasst von
Tomoyuki Irino
Mavroudis Voultsos
Jon A. Tsai
Mats Lindblad
Magnus Nilsson
MD, PhD Ioannis Rouvelas
Publikationsdatum
01.08.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 4/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-016-0433-1