How to Approach Lymphocytic Esophagitis.

Curr Gastroenterol Rep

Esophageal Diseases Center, Division of Gastroenterology and Hepatology, Department of Medicine, Dallas VA Medical Center and the University of Texas Southwestern Medical Center, GI Lab-CA 111-B1, Dallas VAMC, 4500 South Lancaster Road, Dallas, TX, 75231, USA.

Published: June 2017

AI Article Synopsis

  • Lymphocytic esophagitis (LE) is a rare condition in the throat where too many white blood cells, called lymphocytes, are found, but it's not clear if it's a separate disease or related to other issues in the stomach.
  • Recent research shows LE might be linked to conditions like eosinophilic esophagitis (EoE) and gastroesophageal reflux disease (GERD), and it's noticed more in kids with Crohn's disease than adults.
  • Treating LE is tricky because there aren't many options; doctors often use similar treatments as for EoE or GERD, like medicines to reduce stomach acid and steroids.

Article Abstract

Purpose Of Review: Lymphocytic esophagitis (LE) is an unusual esophageal condition defined by an increased number of lymphocytes in the esophageal epithelium. With few published studies of LE available, it is unclear whether LE is a truly distinct clinical entity or a histological manifestation of other known gastrointestinal disorders. This review summarizes recent studies of lymphocytic esophagitis.

Recent Findings: Studies have suggested that LE may be related to eosinophilic esophagitis (EoE) or a manifestation of gastroesophageal reflux disease (GERD). There is an association between LE and Crohn's disease in children, but not in adults. Patients with LE frequently report symptoms of dysphagia and GERD. Treatment options for LE are limited and involve symptom management similar to treatment of EoE or GERD, including proton pump inhibitors (PPI), swallowed topical steroids, and endoscopic dilation. With no formal definition and a variety of clinical presentations and endoscopic findings, diagnosis and management of symptomatic LE patients is challenging for clinicians.

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Source
http://dx.doi.org/10.1007/s11894-017-0564-yDOI Listing

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