Abstract

BERROSPI CASTILLO, Diego; DEL CARMEN KAPSOLI, María  and  BENITES GONI, Harold E.. Esophagitis dissecans superficialis: subdiagnosed entity in multi-morbid patients. Rev. gastroenterol. Perú [online]. 2022, vol.42, n.3, pp.199-202. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2022.423.1398.

A 76-year-old patient presents multiple comorbidities and gastrointestinal symptoms. The upper gastrointestinal endoscopy exam reveals distal stiffness esophageal mucosa. A biopsy was taking creating sloughing of 20 mm long by 6 mm wide with self-limited bleeding. Specimen is compatible with Esophagitis Dissecans Superficialis (EDS). This is a rare entity first described in 1800, characterized endoscopically by mucosal detachment in vertical strips like “gift paper tape”, which is confirmed by pathology with a mucosa with “two tones”, composed of a eosinophilic superficial layer and a normal-appearing basophilic area. It may be accompanied by minimal focal inflammation. The etiopathogenesis is not clear; however, it has a good response to proton pump inhibitors (PPIs). In our case, the patient presented all the characteristics of EDS, and given its low reported frequency, a review of the literature and discussion of this rare entity was performed.

Keywords : esophagitis; esophageal mucosa; endoscopy.

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