The Role of Transnasal Endoscopy in Diet Management of Eosinophilic Esophagitis.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2024-12-04 eCollection Date: 2024-12-01 DOI:10.14309/crj.0000000000001563
Sabine Eid, Maureen Bauer, Nathalie Nguyen
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Abstract

The diagnosis and monitoring of eosinophilic esophagitis (EoE) relies on clinical symptoms and histological examination of the esophageal mucosa. Currently, esophagogastroduodenoscopy with biopsy is the standard of care in the diagnosis and monitoring of EoE. Unsedated transnasal endoscopy (TNE) is a less invasive and less costly procedure that can be performed without general anesthesia. Here, we describe the first case of a 15-year-old adolescent girl who underwent TNE exclusively to identify all food triggers for EoE. She underwent 12 TNEs over a period of 4 years to identify food triggers for EoE to ultimately achieve the remission of her disease.

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经鼻内镜在嗜酸性食管炎饮食管理中的作用。
嗜酸性粒细胞性食管炎(EoE)的诊断和监测依赖于临床症状和食管黏膜的组织学检查。目前,食管胃十二指肠镜活检是诊断和监测EoE的标准护理方法。非镇静经鼻内窥镜检查(TNE)是一种侵入性小、费用低的手术,可以在没有全身麻醉的情况下进行。在这里,我们描述了第一例15岁的青春期女孩,她接受了专门的TNE,以确定所有诱发EoE的食物。她在4年的时间里接受了12次tne,以确定EoE的食物触发因素,最终实现疾病的缓解。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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