Koshurnikova AS, Osmanov IM, Kuzmin AS, Scorobogatova EV, Berezhnaya IV, Zakharova IN. Endoscopic features of eosinophilic lesion of the esophagus in children. Pediatrics. Consilium Medicum. 2024;2:156–161.
DOI: 10.26442/26586630.2024.2.202926
Эндоскопическое своеобразие эозинофильного поражения пищевода у детей
Кошурникова А.С., Османов И.М., Кузьмин А.С., Скоробогатова Е.В., Бережная И.В., Захарова И.Н. Эндоскопическое своеобразие эозинофильного поражения пищевода у детей. Педиатрия. Consilium Medicum. 2024;2:156–161. DOI: 10.26442/26586630.2024.2.202926
Koshurnikova AS, Osmanov IM, Kuzmin AS, Scorobogatova EV, Berezhnaya IV, Zakharova IN. Endoscopic features of eosinophilic lesion of the esophagus in children. Pediatrics. Consilium Medicum. 2024;2:156–161.
DOI: 10.26442/26586630.2024.2.202926
Эозинофильный эзофагит (ЭоЭ) – хроническое, медленно прогрессирующее иммуноопосредованное заболевание, выделенное в отдельный клинико-морфологический синдром. В настоящее время отмечается тенденция к увеличению заболеваемости ЭоЭ среди детского населения. Эндоскопия с биопсией являются неотъемлемой частью постановки диагноза ЭоЭ у детей и взрослых. В статье представлены современные эндоскопические возможности в педиатрической практике. Обращено внимание на необходимость применения имеющихся современных эндоскопических протоколов диагностики эозинофильного поражения пищевода у детей, подчеркнута роль правильной и качественной эндоскопической и патоморфологической интерпретации полученных данных для верификации диагноза при ЭоЭ.
Ключевые слова: эндоскопия, дети, эозинофильный эзофагит у детей, новые технологии в эндоскопии и гастроэнтерологии
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Eosinophilic esophagitis (EoE) is a chronic, slowly progressive immune-mediated disease considered a separate clinical and morphological syndrome. The incidence of EoE is currently tending to increase in children. Endoscopy with biopsy is essential for diagnosing EoE in children and adults. The article presents modern endoscopic capabilities in pediatric practice. Attention is drawn to the need to use the available modern endoscopic protocols for the diagnosis of eosinophilic lesions of the esophagus in children; the role of correct and high-quality endoscopic and pathomorphological interpretation of the data obtained for the verification of the diagnosis in EoE is emphasized.
Keywords: endoscopy, children, eosinophilic esophagitis in children, new technologies in endoscopy and gastroenterology
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2. Landres RT, Kuster GG, Strum WB. Eosinophilic esophagitis in a patient with vigorous achalasia. Gastroenterology. 1978;74(6):1298-301.
3. Attwood SE, Smyrk TC, Demeester TR, Jones JB. Esophageal eosinophilia with dysphagia. A distinct clinicopathologic syndrome. Dig Dis Sci. 1993;38(1):109-16. DOI:10.1007/BF01296781
4. Hirano I, Moy N, Heckman MG, et al. Endoscopic assessment of the oesophageal features of eosinophilic oesophagitis: validation of a novel classification and grading system. Gut. 2013;62(4):489-95. DOI:10.1136/gutjnl-2011-301817
5. Wechsler JB, Bolton SM, Amsden K, et al. Eosinophilic Esophagitis Reference Score Accurately Identifies Disease Activity and Treatment Effects in Children. Clin Gastroenterol Hepatol. 2018;16(7):1056-63. DOI:10.1016/j.cgh.2017.12.019
6. Liacouras CA, Spergel JM, Ruchelli E, et al. Eosinophilic esophagitis: a 10-year experience in 381 children. Clin Gastroenterol Hepatol. 2005;3(12):1198-206.
DOI:10.1016/s1542-3565(05)00885-2
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9. Dellon ES, Liacouras CA, Molina-Infante J, et al. Updated International Consensus Diagnostic Criteria for Eosinophilic Esophagitis: Proceedings of the AGREE Conference. Gastroenterology. 2018;155(4):1022-33.e10. DOI:10.1053/j.gastro.2018.07.009
10. Liacouras CA, Furuta GT, Hirano I, et al. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011;128(1):3-20.e6;
quiz 21-2. DOI:10.1016/j.jaci.2011.02.040
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13. Lucendo AJ, Molina-Infante J, Arias Á, et al. Guidelines on eosinophilic esophagitis: evidence-based statements and recommendations for diagnosis and management in children and adults. United European Gastroenterol J. 2017;5(3):335-58. DOI:10.1177/2050640616689525
14. Ивашкин В.Т., Баранская Е.К., Кайбышева В.О., и др. Эозинофильный эзофагит: обзор литературы и описание собственного наблюдения. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2012:1:71-81 [Ivashkin VT, Baranskaya YeK, Kaybysheva VO, et al. Eosinophilic esophagitis: literature review and original case presentation. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2012:1:71-81 (in Russian)].
15. DeBrosse CW, Collins MH, Buckmeier Butz BK, et al. Identification, epidemiology, and chronicity of pediatric esophageal eosinophilia, 1982–1999. J Allergy Clin Immunol. 2010;126(1):112-9. DOI:10.1016/j.jaci.2010.05.027
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1. Eozinofil’nyi ezofagit (vzroslye i deti). Klinicheskie rekomendatsii. 2022 (in Russian).
2. Landres RT, Kuster GG, Strum WB. Eosinophilic esophagitis in a patient with vigorous achalasia. Gastroenterology. 1978;74(6):1298-301.
3. Attwood SE, Smyrk TC, Demeester TR, Jones JB. Esophageal eosinophilia with dysphagia. A distinct clinicopathologic syndrome. Dig Dis Sci. 1993;38(1):109-16. DOI:10.1007/BF01296781
4. Hirano I, Moy N, Heckman MG, et al. Endoscopic assessment of the oesophageal features of eosinophilic oesophagitis: validation of a novel classification and grading system. Gut. 2013;62(4):489-95. DOI:10.1136/gutjnl-2011-301817
5. Wechsler JB, Bolton SM, Amsden K, et al. Eosinophilic Esophagitis Reference Score Accurately Identifies Disease Activity and Treatment Effects in Children. Clin Gastroenterol Hepatol. 2018;16(7):1056-63. DOI:10.1016/j.cgh.2017.12.019
6. Liacouras CA, Spergel JM, Ruchelli E, et al. Eosinophilic esophagitis: a 10-year experience in 381 children. Clin Gastroenterol Hepatol. 2005;3(12):1198-206.
DOI:10.1016/s1542-3565(05)00885-2
7. Dhar A, Haboubi HN, Attwood SE, et al. British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) joint consensus guidelines on the diagnosis and management of eosinophilic oesophagitis in children and adults. Gut. 2022;71(8):1459-87. DOI:10.1136/gutjnl-2022-327326
8. Kim HP, Vance RB, Shaheen NJ, Dellon ES. The prevalence and diagnostic utility of endoscopic features of eosinophilic esophagitis: a meta-analysis. Clin Gastroenterol Hepatol. 2012;10(9):988-96.e5. DOI:10.1016/j.cgh.2012.04.019
9. Dellon ES, Liacouras CA, Molina-Infante J, et al. Updated International Consensus Diagnostic Criteria for Eosinophilic Esophagitis: Proceedings of the AGREE Conference. Gastroenterology. 2018;155(4):1022-33.e10. DOI:10.1053/j.gastro.2018.07.009
10. Liacouras CA, Furuta GT, Hirano I, et al. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011;128(1):3-20.e6;
quiz 21-2. DOI:10.1016/j.jaci.2011.02.040
11. Yantiss RK, Greenson JK, Spechler S. American registry of pathology expert opinions: Evaluating patients with eosinophilic esophagitis: Practice points for endoscopists and pathologists. Ann Diagn Pathol. 2019;43:151418. DOI:10.1016/j.anndiagpath.2019.151418
12. Vanstapel A, Vanuytsel T, De Hertogh G. Eosinophilic peak counts in eosinophilic esophagitis: a retrospective study. Acta Gastroenterol Belg. 2019;82(2):243-50.
13. Lucendo AJ, Molina-Infante J, Arias Á, et al. Guidelines on eosinophilic esophagitis: evidence-based statements and recommendations for diagnosis and management in children and adults. United European Gastroenterol J. 2017;5(3):335-58. DOI:10.1177/2050640616689525
14. Ivashkin VT, Baranskaya YeK, Kaybysheva VO, et al. Eosinophilic esophagitis: literature review and original case presentation. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2012:1:71-81 (in Russian).
15. DeBrosse CW, Collins MH, Buckmeier Butz BK, et al. Identification, epidemiology, and chronicity of pediatric esophageal eosinophilia, 1982–1999. J Allergy Clin Immunol. 2010;126(1):112-9. DOI:10.1016/j.jaci.2010.05.027
1ГБУЗ «Детская городская клиническая больница им. З.А. Башляевой» Департамента здравоохранения г. Москвы, Москва, Россия; 2ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия; 3ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия
*saller03@mail.ru
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Anastasia S. Koshurnikova*1, Ismail M. Osmanov1,2, Anatolii S. Kuzmin1, Ekaterina V. Scorobogatova1,3, Irina V. Berezhnaya3, Irina N. Zakharova3
1Bashlyaeva Children’s City Clinical Hospital, Moscow, Russia; 2Pirogov Russian National Research Medical University, Moscow, Russia; 3Russian Medical Academy of Continuous Professional Education, Moscow, Russia
*saller03@mail.ru