Ümit AKYÜZ, Filiz AKYÜZ, Kamil ÖZDİL, EKREM ASLAN, Adil NİGDELİOĞLU, Ahmet Faruk AĞAN, Ayşegül AĞAN, Cengiz PATA

İleri yaşta gıda takılması: Eozinofilik özofajiti hatırla

Eozinofilik özofajit özofagusun inflamatuvar hastalığıdır. Genellikle genç erişkin yaşta görülür. İleri yaşta nadiren görülmektedir. Eozinofilik özofajit, özofagusun yiyeceklere karşı esnemesini ve uyumunu azaltır. Bu nedenle esas semptom disfajidir. Özellikle gıdaların takılmasına neden olur. Bu yazıda, ileri yaşta gıda takılması ile gelen bir vaka sunduk. Özet olarak, ileri yaşta gıda takılması ile başvuran hastalarda nadir olmasına karşın eozinofilik özofajit akılda tutulmalıdır.

Anahtar Kelimeler:

Disfaji, eozinofilik özofajit

Food impaction in older age: Think about an eosinophilic esophagitis

Eosinophilic esophagitis is an inflammatory disease of esophagus. It is generally seen in childhood and young population. It is not common in advanced age. Eosinophilic esophagitis decreases the ability of the esophagus to stretch and accommodation against foods. Therefore, the major symptom in adults with eosinophilic esophagitis is difficulty in swallowing solid food (dysphagia). Therefore, food stuck in the esophageal lumen is the specific manifestation when swallowing. Herein, we reported a patient in old age presented with food impaction. In conclusion, eosinophilic esophagitis is a rare entity that must be considered in elderly patients complaining food impaction.

Keywords:

Key words: Dysphagia, eosinophilic esophagitis,

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Mungan Z, Pinarbaşi B, Kaymakoğlu S. Eosinophilic esophagitis: ca- se report. Turk J Gastroenterol 2007;18:100-2.
Onbasi K, Sin AZ, Doganavsargil B, et al. Eosinophil infiltration of the oesophageal mucosa in patients with pollen allergy during the season. Clin Exp Allergy 2005;35:1423-31.
Sperry SL, Woosley JT, Shaheen NJ, Dellon ES. Influence of race and gender on the presentation of eosinophilic esophagitis. Am J Gastroenterol 2012;107:215-21.
Sperry SL, Crockett SD, Miller CB, et al. Esophageal foreign-body impactions: epidemiology, time trends, and the impact of the in- creasing prevalence of eosinophilic esophagitis. Gastrointest En- dosc 2011;74:985-91.
Diniz LO, Towbin AJ. Causes of esophageal food bolus impaction in the pediatric population. Dig Dis Sci 2012;57:690-3.
Altun R, Akbas E, Yıldırım AE, et al. Frequency of eosinophilic esop- hagitis in patients with esophageal symptoms: a single-center Tur- kish experience. Dis Esophagus 2012 Aug 23. doi: 10.1111/j.1442- 2050.2012.01395.x. [Epub ahead of print]. 80
Molina-Infante J, Ferrando-Lamana L, Ripoll C, et al. Esophageal
eosinophilic infiltration responds to proton pump inhibition in most adults. Clin Gastroenterol Hepatol 2011;9:110-7.