Esophagectomy for eosinophilic esophagitis

Case report and literature review

Tomoyuki Irino, Mavroudis Voultsos, Jon A. Tsai, Mats Lindblad, Magnus Nilsson, Ioannis Rouvelas

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Eosinophilic esophagitis (EoE) is a chronic allergen-driven disease in which eosinophilic infiltration of the esophagus results in fibrosis, causing symptoms of esophageal dysfunction. The natural history of EoE frequently results in progressive deterioration of patients’ quality of life. In selected cases, progressive manifestations of disease cannot be managed with the conventional treatment options, and patients therefore suffer from poor quality of life. Methods: We present the case of a 27-year-old male patient whose therapy for long-standing EoE did not prevent his clinical deterioration, which in turn gradually led to worsening quality of life owing to the degree and extent of esophageal fibrosis-associated remodeling. The patient eventually underwent a combined thoracoscopic/laparoscopic esophagectomy as a last resort aimed at alleviating the severe esophageal dysfunction and poor quality of life that he experienced. Results: The patient underwent a minimally invasive esophagectomy and recovered quickly, gaining weight as early as 4 weeks after surgery. The patient returned 5 months later complaining of dysphagia regarding solid food. Gastroscopy showed a mild anastomotic stenosis that was dilated to 18 mm. During follow-up, the patient gained 15 kg compared with his lowest body weight prior to surgery and has remained symptom free 2.5 years after his surgery. Conclusion: Surgery can be considered as a last-resort option for managing the refractory manifestations of EoE and its complications.

Original languageEnglish
Pages (from-to)241-245
Number of pages5
JournalEuropean Surgery - Acta Chirurgica Austriaca
Volume48
Issue number4
DOIs
Publication statusPublished - 2016 Aug 1
Externally publishedYes

Fingerprint

Eosinophilic Esophagitis
Esophagectomy
Quality of Life
Fibrosis
Gastroscopy
Deglutition Disorders
Allergens
Esophagus
Pathologic Constriction
Body Weight
Weights and Measures
Food
Therapeutics

Keywords

  • Benign esophageal stricture
  • Eosinophilic esophagitis
  • Esophageal resection
  • Quality of life
  • Surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Irino, T., Voultsos, M., Tsai, J. A., Lindblad, M., Nilsson, M., & Rouvelas, I. (2016). Esophagectomy for eosinophilic esophagitis: Case report and literature review. European Surgery - Acta Chirurgica Austriaca, 48(4), 241-245. https://doi.org/10.1007/s10353-016-0433-1

Esophagectomy for eosinophilic esophagitis : Case report and literature review. / Irino, Tomoyuki; Voultsos, Mavroudis; Tsai, Jon A.; Lindblad, Mats; Nilsson, Magnus; Rouvelas, Ioannis.

In: European Surgery - Acta Chirurgica Austriaca, Vol. 48, No. 4, 01.08.2016, p. 241-245.

Research output: Contribution to journalArticle

Irino, T, Voultsos, M, Tsai, JA, Lindblad, M, Nilsson, M & Rouvelas, I 2016, 'Esophagectomy for eosinophilic esophagitis: Case report and literature review', European Surgery - Acta Chirurgica Austriaca, vol. 48, no. 4, pp. 241-245. https://doi.org/10.1007/s10353-016-0433-1
Irino, Tomoyuki ; Voultsos, Mavroudis ; Tsai, Jon A. ; Lindblad, Mats ; Nilsson, Magnus ; Rouvelas, Ioannis. / Esophagectomy for eosinophilic esophagitis : Case report and literature review. In: European Surgery - Acta Chirurgica Austriaca. 2016 ; Vol. 48, No. 4. pp. 241-245.
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