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Recent Advances in Inflammation & Allergy Drug Discovery

Editor-in-Chief

ISSN (Print): 2772-2708
ISSN (Online): 2772-2716

Research Article

Lymphocytic Esophagitis: A Case Series of Esophageal Disease with Increasing Frequency

Author(s): Mohamad Yousef, Harleen Chela, Hamza Ertugrul, Abdulmajeed Albarrak, Omer Basar, Syed Pasha, Yousef Mousa, Alhareth Al Juboori, Shellaine Frazier, Veysel Tahan* and Ebubekir Daglilar

Volume 17, Issue 1, 2023

Published on: 03 February, 2023

Page: [79 - 84] Pages: 6

DOI: 10.2174/2772270817666230130093341

Price: $65

Abstract

Background: Lymphocytic esophagitis (LE) is a poorly understood clinical finding that has been increasingly identified in the last decade. Previous studies proposed increased frequency of LE in elderly females, as well as associations with smoking and pediatric Crohn’s disease.

Objective: We aimed to determine the patient characteristics and clinical features of our adult LE patients. As inflammation in the esophagus has been linked to cancer, this review also describes this association. However, there are no reported cases of malignant transformation in those with underlying lymphocytic esophagitis.

Methods: We retrospectively reviewed records for patients at the University of Missouri Hospital- Columbia (located in the USA) who had a histopathological diagnosis of LE. Cases of LE were identified using the pathology reporting system at the University of Missouri Hospital for esophageal biopsy specimens for the above-mentioned period.

Results: The data of a total of 20 adult cases with esophageal biopsy specimens consistent with LE were included.

Conclusion:LE seems to be a benign but disturbing clinical problem and should be remembered in elderly females complaining of dysphagia or refractory reflux symptoms. It has similar endoscopic findings of eosinophilic esophagitis with rings and esophagitis. Smoking and hiatal hernia are common risk factors. The majority of LE patients can respond to proton pump inhibitor (PPI) therapy. Endoscopic dilations and steroid therapy should be considered for PPI nonresponder LE patients.

Keywords: Lymphocytic esophagitis, reflux disease, inflammation, dysphagia, heartburn, regurgitation.

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