Lesion: 1/2 under the esophagus, longitudinal furrowing/shearing and the “crêpe paper”
Alberto Ravelli, Practical pediatric gastrointestinal endoscopyractical, 2012
Lesion: 1/3 under the esophagus, image of trachealization
Alberto Ravelli, Practical pediatric gastrointestinal endoscopyractical, 2012
Lesion: White Plaques
Lesion: Esophageal rings with food bolus impaction in esophagus (Stenose)
Initial Management
•Biopsy: > 2 to 4 pieces both proximal + distal esophageal à Histology: basal zone hyperplasia, lamina propria fibrosis, sometimes eosinophilic microabcesses ∆+: ≥ 15 eos/hpf
•Other explorations : Peripheral eosinophilia, specific IgE
•Treatments : Elimination diets, topical steroids, systemic corticosteroids or other ttt should be individualized
Repeat EGD + biopsies in 4–12 weeks
Other images
Fixed esophageal ring
Exudates (plaques)
Furrows (vertical lines)
Oedema (decreased vascular marking)
Transient oesophageal rings (feline oesophagus): excluded EoE
Crepe paper oesophagus (mucosal fragile)
Esophageal Subepithelial Fibrosos in Children with Esinophilic Esophagitis
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