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Esophagitis Dissecans Superficialis in Children
Nonyelum Ebigbo1,2, Jason Y Park3, Edaire Cheng1,2
1Division of Pediatric Gastroenterology, Childrens Medical Center.
Summary
Esophagitis dissecans superficialis (EDS) is a rare esophageal condition. In children, EDS often presents with food impaction and is associated with eosinophilic esophagitis, but typically resolves without complications.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Pathology
Background:
- Esophagitis dissecans superficialis (EDS) is a desquamative disorder of the esophageal epithelium.
- Clinical and histological features include superficial epithelial peeling and a two-toned appearance.
- Data on pediatric EDS is limited.
Purpose of the Study:
- To investigate the clinical characteristics, associations, and outcomes of pediatric Esophagitis dissecans superficialis (EDS).
Main Methods:
- Retrospective review of pathology records over 10 years at a pediatric tertiary care center.
- Analysis of demographic data, clinical history, endoscopic findings, and histopathology reports.
- Inclusion criteria: histologic diagnosis of EDS.
Main Results:
- Thirteen pediatric patients (ages 3-18) diagnosed with EDS were identified.
- Common symptoms included food impaction, dysphagia, vomiting, and abdominal pain.
- Associated conditions included eosinophilic esophagitis (23%), inflammatory bowel disease (23%), and GERD (15%).
Conclusions:
- EDS is an under-recognized condition in children, often associated with food impaction and eosinophilic esophagitis.
- Pediatric EDS appears to be an incidental finding with minimal morbidity or mortality.
- Resolution of EDS was observed in patients with repeat endoscopies.
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