Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review
Oana Cristina Petrea,1,2 Carol Stanciu,2 Cristina Maria Muzica,1,2 Catalin Victor Sfarti,1,2 Camelia Cojocariu,1,2 Irina Girleanu,1,2 Laura Huiban,1 Anca Trifan1,2 1Department of Gastroenterology, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania; 2Institute of...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-11-01
|
| Series: | International Journal of General Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/idiopathic-cervical-esophageal-webs-a-case-report-and-literature-revie-peer-reviewed-article-IJGM |
| _version_ | 1811294535098040320 |
|---|---|
| author | Petrea OC Stanciu C Muzica CM Sfarti CV Cojocariu C Girleanu I Huiban L Trifan A |
| author_facet | Petrea OC Stanciu C Muzica CM Sfarti CV Cojocariu C Girleanu I Huiban L Trifan A |
| author_sort | Petrea OC |
| collection | DOAJ |
| description | Oana Cristina Petrea,1,2 Carol Stanciu,2 Cristina Maria Muzica,1,2 Catalin Victor Sfarti,1,2 Camelia Cojocariu,1,2 Irina Girleanu,1,2 Laura Huiban,1 Anca Trifan1,2 1Department of Gastroenterology, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania; 2Institute of Gastroenterology and Hepatology, Iasi, RomaniaCorrespondence: Carol StanciuInstitute of Gastroenterology and Hepatology, “St Spiridon” Emergency Hospital, Iași 700111, RomaniaTel +40722306020Email stanciucarol@yahoo.comAbstract: An esophageal web is a thin and smooth extension of normal esophageal tissue consisting of mucosa and submucosa that can occur anywhere along the length of the esophagus but is typically located in the cervical segment. The webs can be congenital or acquired, commonly associated with Plummer-Vinson syndrome and rarely with celiac disease, dermatological disorders or graft-versus-host disease. A 54-year-old man was referred to our hospital with a history of high non-progressive dysphagia to solid food, meat impaction and weight loss over last ten months. His medical history and family history were unremarkable nor was the physical examination. Complete blood count and basic biochemical tests were normal. Antigliadin and antiendomysial antibodies for celiac disease were negative. Barium swallow esophagography and upper endoscopy detected cervical esophageal webs. The treatment consisted of endoscopic balloon dilation. The patient’s dysphagia resolved shortly after dilation, and the endoscope passed easily through the esophagus showing normal esophageal, gastric and duodenal mucosa. This report is consistent with a case of esophageal webs rarely documented in males and that is not related with common causes like Plummer-Vinson syndrome. Thus, the pathogenesis and treatment of esophageal webs are evolving.Keywords: esophageal webs, dysphagia, cervical esophagus, endoscopic dilation |
| first_indexed | 2024-04-13T05:18:59Z |
| format | Article |
| id | doaj.art-0e1ee48381c745ec83f947f808447330 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-04-13T05:18:59Z |
| publishDate | 2020-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-0e1ee48381c745ec83f947f8084473302022-12-22T03:00:49ZengDove Medical PressInternational Journal of General Medicine1178-70742020-11-01Volume 131123112759329Idiopathic Cervical Esophageal Webs: A Case Report and Literature ReviewPetrea OCStanciu CMuzica CMSfarti CVCojocariu CGirleanu IHuiban LTrifan AOana Cristina Petrea,1,2 Carol Stanciu,2 Cristina Maria Muzica,1,2 Catalin Victor Sfarti,1,2 Camelia Cojocariu,1,2 Irina Girleanu,1,2 Laura Huiban,1 Anca Trifan1,2 1Department of Gastroenterology, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania; 2Institute of Gastroenterology and Hepatology, Iasi, RomaniaCorrespondence: Carol StanciuInstitute of Gastroenterology and Hepatology, “St Spiridon” Emergency Hospital, Iași 700111, RomaniaTel +40722306020Email stanciucarol@yahoo.comAbstract: An esophageal web is a thin and smooth extension of normal esophageal tissue consisting of mucosa and submucosa that can occur anywhere along the length of the esophagus but is typically located in the cervical segment. The webs can be congenital or acquired, commonly associated with Plummer-Vinson syndrome and rarely with celiac disease, dermatological disorders or graft-versus-host disease. A 54-year-old man was referred to our hospital with a history of high non-progressive dysphagia to solid food, meat impaction and weight loss over last ten months. His medical history and family history were unremarkable nor was the physical examination. Complete blood count and basic biochemical tests were normal. Antigliadin and antiendomysial antibodies for celiac disease were negative. Barium swallow esophagography and upper endoscopy detected cervical esophageal webs. The treatment consisted of endoscopic balloon dilation. The patient’s dysphagia resolved shortly after dilation, and the endoscope passed easily through the esophagus showing normal esophageal, gastric and duodenal mucosa. This report is consistent with a case of esophageal webs rarely documented in males and that is not related with common causes like Plummer-Vinson syndrome. Thus, the pathogenesis and treatment of esophageal webs are evolving.Keywords: esophageal webs, dysphagia, cervical esophagus, endoscopic dilationhttps://www.dovepress.com/idiopathic-cervical-esophageal-webs-a-case-report-and-literature-revie-peer-reviewed-article-IJGMesophageal websdysphagiacervical esophagusendoscopic dilation |
| spellingShingle | Petrea OC Stanciu C Muzica CM Sfarti CV Cojocariu C Girleanu I Huiban L Trifan A Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review International Journal of General Medicine esophageal webs dysphagia cervical esophagus endoscopic dilation |
| title | Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review |
| title_full | Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review |
| title_fullStr | Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review |
| title_full_unstemmed | Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review |
| title_short | Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review |
| title_sort | idiopathic cervical esophageal webs a case report and literature review |
| topic | esophageal webs dysphagia cervical esophagus endoscopic dilation |
| url | https://www.dovepress.com/idiopathic-cervical-esophageal-webs-a-case-report-and-literature-revie-peer-reviewed-article-IJGM |
| work_keys_str_mv | AT petreaoc idiopathiccervicalesophagealwebsacasereportandliteraturereview AT stanciuc idiopathiccervicalesophagealwebsacasereportandliteraturereview AT muzicacm idiopathiccervicalesophagealwebsacasereportandliteraturereview AT sfarticv idiopathiccervicalesophagealwebsacasereportandliteraturereview AT cojocariuc idiopathiccervicalesophagealwebsacasereportandliteraturereview AT girleanui idiopathiccervicalesophagealwebsacasereportandliteraturereview AT huibanl idiopathiccervicalesophagealwebsacasereportandliteraturereview AT trifana idiopathiccervicalesophagealwebsacasereportandliteraturereview |