Lesion: 1/2 under the esophagus, longitudinal furrowing/shearing and the “crêpe paper”

Alberto Ravelli, Practical pediatric gastrointestinal endoscopyractical, 2012

Lesion: 1/3 under the esophagus, image of trachealization

Alberto Ravelli, Practical pediatric gastrointestinal endoscopyractical, 2012

Lesion: White Plaques

Lesion: Esophageal rings with food bolus impaction in esophagus (Stenose)

Initial Management

•Biopsy: > 2 to 4 pieces both proximal + distal esophageal à Histology: basal zone hyperplasia, lamina propria fibrosis, sometimes eosinophilic microabcesses ∆+: ≥ 15 eos/hpf

•Other explorations : Peripheral eosinophilia, specific IgE

•Treatments : Elimination diets, topical steroids, systemic corticosteroids or other ttt should be individualized

Repeat EGD + biopsies in 4–12 weeks

Other images

Fixed esophageal ring

Exudates (plaques)

Furrows (vertical lines)

Oedema (decreased vascular marking)

Transient oesophageal rings (feline oesophagus): excluded EoE

Crepe paper oesophagus (mucosal fragile)

Esophageal Subepithelial Fibrosos in Children with Esinophilic Esophagitis