Abstract
Various esophageal motor disorders including achalasia have been sporadically reported in patients with eosinophilic esophagitis (EoE). The aim of this study was to determine the association between achalasia and EoE and to review the treatment outcomes in patients having both conditions. A retrospective search was conducted to identify the cases of achalasia having EoE over the last 10 years at a tertiary care hospital in the United States. Subsequently, a review of the literature was performed to search for cases of achalasia that have concurrent EoE. The retrospective study showed that 4 out of 512 patients of achalasia (<1 %) had concomitant EoE. The eosinophil counts were high (80–100/hpf) but the classic endoscopic features of EoE were present in only one patient. Long term outcome following treatment including botox, myotomy and corticosteroids was generally poor. Sixteen patients have been reported in the literature out of which five patients were reported in detail. Patients had good short term response to various therapies. The long term outcomes have not been reported. These studies suggest that a concurrence of these two conditions, although rare, may occur and may not be recognized by usual endoscopic features of EoE. Long term treatment outcomes, distinct from short term in the literature, may be poor.
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Author Contributions
Dr Rohan Mandaliya: Study concept and design; acquisition of data; analysis and interpretation of data; drafting of the manuscript; statistical analysis.
Dr Anthony DiMarino: Administrative, technical of material support; study supervision; critical revision of the manuscript for important intellectual content.
Dr Sidney Cohen: Study concept and design; analysis and interpretation of the data; drafting of the manuscript, critical revision of the manuscript for important intellectual content; statistical analysis; administrative, technical or material support; study supervision.
Potential competing interests: None
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Mandaliya, R., DiMarino, A.J. & Cohen, S. Association of achalasia and eosinophilic esophagitis. Indian J Gastroenterol 32, 54–57 (2013). https://doi.org/10.1007/s12664-012-0255-4
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DOI: https://doi.org/10.1007/s12664-012-0255-4