Eosinophilic esophagitis: imaging features with endoscopic and pathologic correlation

Area of Science:

• Gastroenterology
• Radiology
• Immunology

Background:

• Eosinophilic esophagitis (EoE) is a chronic immune-mediated esophageal disorder causing dysfunction.
• Diagnosis relies on endoscopic biopsies showing eosinophil-predominant inflammation.
• Esophageal imaging offers insights into structural and functional changes.

Purpose of the Study:

• To review fluoroscopic imaging features of eosinophilic esophagitis.
• To correlate these findings with endoscopic and pathologic results.
• To highlight the role of radiology in assessing EoE.

Main Methods:

• Review of fluoroscopic imaging in patients with eosinophilic esophagitis.
• Correlation of imaging findings with endoscopic and histopathologic data.
• Analysis of structural and functional esophageal changes.

Main Results:

• Fluoroscopy can identify characteristic imaging features of eosinophilic esophagitis.
• Radiologic findings may correlate with endoscopic and pathologic assessments.
• Fluoroscopic studies are valuable for detecting subtle changes and fibrotic remodeling.

Conclusions:

• Radiologic examinations are valuable tools for assessing eosinophilic esophagitis.
• Fluoroscopy can reveal fibrostenotic changes, such as narrowing, more clearly than endoscopy.
• Recognizing radiologic signs facilitates earlier diagnosis and treatment of EoE.