Prevalence of Eosinophilic Esophagitis in ...
Document type :
Article dans une revue scientifique: Article original
Title :
Prevalence of Eosinophilic Esophagitis in Adolescents With Esophageal Atresia
Author(s) :
Lardenois, Emilie [Auteur]
Michaud, Laurent [Auteur]
Schneider, Anne [Auteur]
Onea, Mihaela [Auteur]
Rebeuh, Julie [Auteur]
Gottrand-Aumar, Madeleine [Auteur]
Renaud, Florence [Auteur]
Gottrand, Frederic [Auteur]
Leteurtre, Emmanuelle [Auteur]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Michaud, Laurent [Auteur]

Schneider, Anne [Auteur]
Onea, Mihaela [Auteur]
Rebeuh, Julie [Auteur]
Gottrand-Aumar, Madeleine [Auteur]
Renaud, Florence [Auteur]

Gottrand, Frederic [Auteur]
Leteurtre, Emmanuelle [Auteur]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Journal title :
Journal of pediatric gastroenterology and nutrition
Pages :
52-56
Publisher :
Lippincott, Williams & Wilkins
Publication date :
2019-07
ISSN :
0277-2116
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
ABSTRACT Background and Objective: Eosinophilic esophagitis (EoE) is an increasingly recognized childhood disease. Esophageal atresia (EA) is the most frequent congenital malformation of the esophagus. Recently, cases of ...
Show more >ABSTRACT Background and Objective: Eosinophilic esophagitis (EoE) is an increasingly recognized childhood disease. Esophageal atresia (EA) is the most frequent congenital malformation of the esophagus. Recently, cases of EoE occurring in patients with EA have been reported, although the exact prevalence of EoE in EA remains unknown. The aim is to investigate the prevalence of EoE among EA in adolescents and to describe these patients’ characteristics. Methods: Systematic upper gastrointestinal endoscopies with multistage esophageal biopsies were prospectively performed in 63 adolescents with EA. A standardized form was used to collect clinical and endoscopic data. Diagnosis of EoE was made as ≥15 intraepithelial eosinophils/high power field, whatever the response on proton pump inhibitors therapy. Results: Six patients (9.5%) presented an EoE (17–100 eosinophils/high power field). An atopic condition was reported more frequently in the eosinophil ≥15 group than in patients with no EoE (66% vs 16%; P = 0.014). Except for chest pain, symptoms and endoscopic features were similar in patients with EoE and patients with no EoE. Conclusion: In our series of 63 patients born with EA, mainly distal tracheoesophageal fistula, the prevalence of EoE is increased, and therefore should be considered in adolescents with EA.Show less >
Show more >ABSTRACT Background and Objective: Eosinophilic esophagitis (EoE) is an increasingly recognized childhood disease. Esophageal atresia (EA) is the most frequent congenital malformation of the esophagus. Recently, cases of EoE occurring in patients with EA have been reported, although the exact prevalence of EoE in EA remains unknown. The aim is to investigate the prevalence of EoE among EA in adolescents and to describe these patients’ characteristics. Methods: Systematic upper gastrointestinal endoscopies with multistage esophageal biopsies were prospectively performed in 63 adolescents with EA. A standardized form was used to collect clinical and endoscopic data. Diagnosis of EoE was made as ≥15 intraepithelial eosinophils/high power field, whatever the response on proton pump inhibitors therapy. Results: Six patients (9.5%) presented an EoE (17–100 eosinophils/high power field). An atopic condition was reported more frequently in the eosinophil ≥15 group than in patients with no EoE (66% vs 16%; P = 0.014). Except for chest pain, symptoms and endoscopic features were similar in patients with EoE and patients with no EoE. Conclusion: In our series of 63 patients born with EA, mainly distal tracheoesophageal fistula, the prevalence of EoE is increased, and therefore should be considered in adolescents with EA.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Popular science :
Non
Collections :
Source :
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