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Idiopathic Cervical Esophageal Webs: A Case Report and Literature Review

Authors Petrea OC, Stanciu C, Muzica CM, Sfarti CV, Cojocariu C, Girleanu I, Huiban L, Trifan A

Received 28 August 2020

Accepted for publication 16 October 2020

Published 16 November 2020 Volume 2020:13 Pages 1123—1127


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

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, Romania

Correspondence: Carol Stanciu
Institute of Gastroenterology and Hepatology, “St Spiridon” Emergency Hospital, Iași 700111, Romania
Tel +40722306020

Abstract: 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

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