Esophageal dilations in eosinophilic esophagitis: A single center experience

Table 1 Comparison of eosinophilic esophagitis patients who did and did not require dilations n (%)

Characteristic	No Dilation	Dilation
	(n= 39)	(n= 22)
Age (yr)	38 (18-61)	49 (23-61)
Asthma/allergic history	12 (31)	10 (45)
Presenting symptoms	0	0
Dysphagia	15 (38)	22 (100)
Food impaction	9 (23)	10 (45)2
Reflux	9 (23)	0
No symptoms	6 (15)	0
Symptomatic	33 (85)	22 (100)
Peak eos/hpf	47.9 eos/hpf	52.6 eos/hpf
Length of follow up (yr)	4.8 ± 1.51 yr	5.2 ± 1.4 yr
Number of EGDs	1.4 ± 0.7	2.6 ± 1.5

¹Patients lost to follow up not included. ND 15 (38%) and YD 3 (14%), patients lost to follow up;

²10 patients of 22 YD group had food impaction.

Table 2 Endoscopic findings in the esophagus at the time of diagnosis n (%)

Type of findings	No dilation	Dilation
Erosions	6 (15)	2 (9)
Inflammation	1 (3)	2 (9)
Linear furrowing	13 (33)	4 (18)
Ridges and cobblestone	1 (3)	0
Ringed	14 (35)	7 (32)
Schatzki ring	2 (5)	6 (37)
Stenosis	0	4 (18)
Benign strictures	0	9 (41)
Tortuous	1 (3)	0
White plaques	4 (10)	2 (9)
No abnormalities	8 (21)	0

Table 3 Site involvement based on biopsy readings at time of diagnosis

Location	No dilation	Dilation
Proximal	7	1
Mid	31	19
Distal	22	8
GEJ	4	3
Not specified	3	2

GEJ: Gastroesophageal junction.

Table 4 Comparison of PR and AT groups

Characteristics	PR Group (Diagnosis before 1st dilation)(n= 6)		AT Group(Diagnosis at 1st dilation)(n= 16)
	Mean	Range	Mean	Range
Peak eos/hpf at 1st diagnosis	31.6 ± 18.4	15-92
Peak eos/hpf at 1st dilation	45.7 ± 30.8		73.6 ± 42.4	15-145
Number of biopsies at diagnosis	1.7 ± 0.8	1-3	1.7 ± 0.6	1-3
Number of EGDs	3.7 ± 2.0	2-7	2.2 ± 1.2	1-5
Number of dilations	1	1	1.4 ± 0.7	1-3
Length of follow up (yr)1	5 ± 1.2	4-7	5.2 ± 1.4	4-9

¹1/6(17%) and 2/16(12.5%), respectively lost to follow up.

Table 5 Comparison of patients with and without complication after dilation n (%)

	Complications	No complications
Age (yr)	35 (20-51)	41 (20-54)
Asthma/allergy history	2 (50)	8 (44)
Peak eos/hpf at time of dilation	78 ± 51	63 ± 37