Endoscopy 2020; 52(S 01): S322
DOI: 10.1055/s-0040-1705037
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00-17:00 Pediatric endoscopy ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

REVIEW OF EOSINOPHILIC ESOPHAGITIS REFERENCE SCORE (EOERS) FOR THE PRIMARY DIAGNOSTIC OF EOSINOPHILIC ESOPHAGITIS IN CHILDREN

Y Kaminskaya
1   Belarussion State Medical University, Minsk, Belarus
,
K Marakhouski
2   Republican Centre of Pediatric Surgery, Minsk, Belarus
,
O Pataleta
3   Republican Centre of Pediatric Surgery, Endoscopy, Minsk, Belarus
,
K Sanfirov
3   Republican Centre of Pediatric Surgery, Endoscopy, Minsk, Belarus
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available ateRef
 
 

    Aims Since 2017 EoERS has been used for detection of eosinophilic esophagitis(EoE) in children. All of them manifestate of dysphagia and disturbances of esophageal transit.

    Methods Esophagogastroduodenoscopy with NBI and biopsy from three part of esophagus and recording was done. All recordings of esophagoduodenoscopy were retrospectively evaluated by two experts. The aim of evaluation was to detect endoscopic “red flag” of EoE.

    Results From August 2017 to November 2019 24 new cases of EoE were detected(2017 −1;2018 - 9;2019 - 14). Data analysis showed that among 24 patients, males represent 86.96%, females - 13.04%.EoE was detected in one case among children up to 1-year-old (4.18%);5 cases among children from 1 to 3 years (20.84%),10 cases among children from 3 to 7 years (41.68%), 8 cases (33.3%) among patients from 8 to 18 years.

    The allergological anamnesis of 15 patients indicates 9 cases of food allergy (37,5%), 2 cases of drug allergy (8,3 %), 4 cases of multiple allergies and 9 cases where anamnesis is not burdened. An analysis of the endoscopic signs included in EoERS showed “exudate” in 68% of cases, in 63% vertical “furrows” were detected.Fixed rings were observed in 21% of cases and transition rings in 37% cases, but when combined, the ring-shaped striation of the esophagus was observed in 58% of cases. Narrowing of esophagus’s lumen of varying degrees was detected in 31% of cases.

    Only one of the signs was found in 21% of cases, two signs in 42% of cases, three or more in 36% of cases. In two patients, signs of EoE were visualized only when illuminated in NBI mode.

    Conclusions The use of the endoscopic index and the training of doctors to recognize endoscopic signs of EoE leads to improved diagnosis.The proposed EoERS is cumbersome and can be simplified for the primary detection of EoE in children.