Proton Pump Inhibitor-Induced Remission of Lymphocytic Esophagitis.

ACG Case Rep J

Division of Gastroenterology, Department of Internal Medicine, Einstein Medical Center, Philadelphia, PA.

Published: August 2016

Lymphocytic esophagitis is a chronic condition that has been described in the literature; however, there is little information describing its characteristics and treatment. We present a case of lymphocytic esophagitis that was identified following food impaction. Repeat esophagogastroduodenoscopy (EGD) with biopsy showed a marked decrease in lymphocytic infiltration after a 6-week course of twice-daily high-dose proton pump inhibitor (PPI). After initiation of the high-dose PPI regimen, the patient had no further episodes of dysphagia or food impaction. We propose that treating lymphocytic esophagitis with twice-daily PPI can improve symptoms and show histologic evidence of improvement.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5226190PMC
http://dx.doi.org/10.14309/crj.2016.168DOI Listing

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