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Graft-versus-host disease-Induced esophageal web
Takashi Watari1, Takashi Nagano1, Yoshikazu Takinami2
1Postgraduate Clinical Training Centre Shimane University Hospital Shimane Japan.
Journal of General and Family Medicine
|January 12, 2019
Summary
A chicken meat impaction was found in the upper esophagus during endoscopy. Following removal, an esophageal web, diagnosed as graft-versus-host disease-induced, was identified.
Area of Science:
- Gastroenterology
- Oncology
- Immunology
Background:
- Graft-versus-host disease (GVHD) can affect various organs, including the esophagus.
- Esophageal complications of GVHD can range from dysphagia to strictures.
- Early diagnosis and management are crucial for improving patient outcomes.
Purpose of the Study:
- To report a case of esophageal web secondary to GVHD.
- To highlight the endoscopic findings and diagnosis of this rare complication.
Main Methods:
- Esophageal endoscopy was performed to investigate food impaction.
- Direct visualization and biopsy (if applicable) were used to assess the esophageal lining.
Main Results:
- Endoscopy revealed a chicken meat impaction in the upper esophagus.
- After food removal, a thin membranous constriction, identified as an esophageal web, was observed.
- The esophageal web was diagnosed as GVHD-induced.
Conclusions:
- Esophageal webs can be a manifestation of GVHD.
- Endoscopy is essential for diagnosing esophageal complications in GVHD patients.
- Prompt recognition of GVHD-induced esophageal webs may prevent further complications.
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