Year 2023 / Volume 115 / Number 10
Digestive Diseases Image
Esophageal tuberculosis

576-577

DOI: 10.17235/reed.2022.9108/2022

Kazuhiro Furukawa, Masahiko Koike, Ryoji Miyahara, Hiroki Kawashima,

Abstract
Esophageal tuberculosis (ET) is an extremely rare disease and herein, we present an ET case. Endoscopic findings of ET are variable and diverse and can be easily mistaken for malignancy. A definitive diagnosis of ET is difficult to make with white light endoscopy alone, and the diagnostic yield of a biopsy is low in secondary ET cases with normal overlying mucosa. Although the findings of conventional endoscopy and endoscopic ultrasonography in ET have been reported so far, few reports have described the findings of magnifying endoscopy with narrow-band imaging (ME-NBI). Dilated microvessels without irregularities on ME-NBI may be useful to differentiate secondary ET from esophageal carcinoma, since the findings suggest compression from the depth. Although rare, ET has to be considered in the differential diagnosis for any unexplained esophageal lesions.
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References
1. Birda LC, Kumar A, Gupta P, et al. Oesophageal Tuberculosis: A Systematic Review Focusing on Clinical Management. Dysphagia (in press)
2. Takaki Y, Yao K, Yano Y, et al. Esophageal tuberculosis: a microgranuloma visualized by narrow-band imaging magnifying endoscopy. Endoscopy 2011;43 Suppl 2:E377-378.
3. Zhu R, Bai Y, Zhou Y, et al. EUS in the diagnosis of pathologically undiagnosed esophageal tuberculosis. BMC Gastroenterol 2020;20:291.
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Furukawa K, Koike M, Miyahara R, Kawashima H. Esophageal tuberculosis. 9108/2022


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Publication history

Received: 31/07/2022

Accepted: 03/08/2022

Online First: 31/08/2022

Published: 09/10/2023

Article Online First time: 31 days

Article editing time: 435 days


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