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Updated: Aug 11, 2025
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
13.7K
[Esophagitis dissecans superficialis: subdiagnosed entity in multi-morbid patients]
Diego Berrospi Castillo1, María Del Carmen Kapsoli1, Harold E Benites Goñi2
1Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
Summary
Esophagitis Dissecans Superficialis (EDS) is a rare esophageal condition presenting as mucosal detachment. This case highlights its endoscopic and pathological features, emphasizing a good response to proton pump inhibitors.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Esophagitis Dissecans Superficialis (EDS) is an uncommon esophageal disorder.
- Characterized by superficial mucosal sloughing and detachment.
Approach:
- Case presentation of a 76-year-old patient with gastrointestinal symptoms.
- Diagnostic upper gastrointestinal endoscopy with biopsy.
- Literature review and discussion of EDS.
Key Points:
- Endoscopic findings include distal esophageal mucosal stiffness and detachment resembling "gift paper tape".
- Pathology reveals a characteristic "two-toned" mucosa with eosinophilic and basophilic layers.
- Minimal focal inflammation may be present.
Conclusions:
- EDS is a rare entity with unclear etiopathogenesis.
- Proton pump inhibitors (PPIs) demonstrate efficacy in managing EDS.
- This case underscores the importance of recognizing EDS's unique features.
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