胃と腸53巻3号

2018年03月発行

今月の主題 好酸球性食道炎の診断と治療 主題

健診で発見される好酸球性食道炎の特徴と予後

著者： 足立経一¹ 岡田真由美¹ 三代知子¹ 沖本英子² 石村典久² 木下芳一²

所属機関： ¹島根県環境保健公社総合健診センター ²島根大学医学部内科学講座第二

ページ範囲：P.323 - P.331

要旨●健診目的の内視鏡検査7,587例中36例（0.47％）が好酸球性食道炎と診断された．男性32例，女性4例で，40歳代で最も多くみられたが，発見頻度では39歳以下も高かった．29例（80.6％）がアレルギー疾患を有し，つかえ感，胸やけなどの症状を25例（69.4％）に認めた．過去の内視鏡像の検討では，25例中12例（48.0％）に好酸球性食道炎を疑う内視鏡所見を以前から認めていた．PPI反応性を検討した30例中23例（76.7％）はPPI-REEであり，7例が狭義の好酸球性食道炎であった．PPI-REEにおいてPPI中止後は高頻度に再燃を認めた．

参考文献

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