Trachealization in a Patient With Eosinophilic Esophagitis

A40-year-old man was referred for an esophagogastroduodenoscopy (EGD) for evaluation of intermittent nausea and vomiting of 2 months ’ duration. The patient denied obvious dysphagia but reported occasional difficulty with swallowing large pills since childhood. The EGD showed markedly prominent mucosal rings in the proximal esophagus (trachealization of esophagus) (Figure A), along with a stricture at 23 cm (Figure B) from the incisors that could not be traversed with a regular upper endoscope. The remainder of the examination was completed using an ultraslim scope and showed the presence of prominent rings in the distal esophagus as well.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research