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Experimental and Clinical Gastroenterology

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Chronic aspiration bronchiolitis in a patient with esophageal diverticulum and gastroesophageal reflux disease

https://doi.org/10.31146/1682-8658-ecg-199-3-150-155

Abstract

Purpose of the study: to present a description of the clinical observation of chronic aspiration bronchiolitis in a patient with a large diverticulum of the upper esophagus and gastroesophageal refl ux disease (GERD).

Materials and methods: a brief review of the literature on the modern concept of extraesophageal respiratory manifestations of GERD, the features of the course of upper esophageal diverticula, clinical and radiological symptoms of chronic aspiration bronchiolitis is presented. In the above clinical case, chronic aspiration bronchiolitis was a manifestation of gastroesophageal pathology.

Results: The development of fi brosing interstitial lung disease in a patient with a large upper esophageal diverticulum and GERD is presented.

Conclusion: the problems of differential diagnosis of respiratory symptoms in esophageal pathology are shown. The authors hope that the described observation will increase the attention of doctors regarding comorbid fi brosing interstitial lung diseases in esophageal pathology; the need for timely detection of a progressive fi brotic phenotype and determination of indications for antifi brotic therapy.

About the Authors

T. G. Shapovalova
Federal Saratov State Medical University, Healthcare Ministry of Russia
Russian Federation

Tatyana G. Shapovalova -Professor of the Department of Therapy, Gastroenterology and Pulmonology; Professor; Doctor of Medical Sciences; Scopus Author ID: 6603614978.

Bolshaya Sadovaya St., 137, Saratov, Saratov Region, 410000



A. Yu. Ryabova
Federal Saratov State Medical University, Healthcare Ministry of Russia
Russian Federation

Anna Yu. Ryabova -Professor of the Department of Therapy, Gastroenterology and Pulmonology; assistant professor; Doctor of Medical Sciences; Scopus Author ID: 57213286335.

Bolshaya Sadovaya St., 137, Saratov, Saratov Region, 410000



A. L. Pakhomova
Federal Saratov State Medical University, Healthcare Ministry of Russia
Russian Federation

Anna L. Pakhomova -Associate Professor at the Department of Therapy, Gastroenterology and Pulmonology; assistant professor; Candidate of Medical Sciences; ResearcherID: AAD-9952–2021.

Bolshaya Sadovaya St., 137, Saratov, Saratov Region, 410000



M. M. Shashina
Federal Saratov State Medical University, Healthcare Ministry of Russia
Russian Federation

Marina M. Shashina -Associate Professor at the Department of Therapy, Gastroenterology and Pulmonology; assistant professor; Candidate of Medical Sciences.

Bolshaya Sadovaya St., 137, Saratov, Saratov Region, 410000



References

1. Fedorova S. O., Kozlova N. M. Gastroesophageal refl ux disease associated with diseases of the respiratory tract. Acta biomedica scientifica (east siberian biomedical journal) 2018;3(3):103–107 с (in Russ.) doi https://doi.org/10.29413/ABS.2018–3.3.16

2. Griffiths T.L, Nassar M, Soubani A. O. Pulmonary manifestations of gastroesophageal refl ux disease. Expert Rev Respir Med. 2020 Aug;14(8):767-775. doi:10.1080/174763 482020.1758068. PMID: 32308062

3. Durazzo M., Lupi G., Cicerchia F., Ferro A., Barutta F., Beccuti G., Gruden G., Pellicano R. Extra-E sophageal Presentation of Gastroesophageal Refl ux Disease: 2020 Update. J Clin Med. 2020 Aug 7; 9(8):2559. doi: 10.3390/jcm9082559. PMID: 32784573. PMCID: PMC7465150.

4. Akhmedov VA, Gauss O V, Petrov D. V. Idiopathic pulmonary fi brosis as a possible extraesophageal manifestation of gastroesophageal refl ux disease. Klin. medicine 2017 95 (5):389–393. (in Russ.) doi: 10.29413/ABS.2018–3.3.16

5. Kost K., Parham K. Management decisions for Zenker diverticulum in the elderly. Ear Nose Throat J. 2017 Sep;96(9):363–364. doi:10.1177/014556131709600906. PMID:22931189.

6. Uoti S., Andersson S. E., Robinson E., Räsänen J., Kytö V., Ilonen I. Epidemiology and Management of Zenker Diverticulum in a Low-Threshold Single-payer Health Care System. JAMA Otolaryngol Head Neck Surg. 2021 Dec 16. doi:10.1001/jamaoto.2021.3671. PMID:34913965. PMCID: PMC8678895.

7. Karnaushkina M.A., Strutynskaya A. D., Babak S. L., Gorbunova M. V. Characteristics Radiologic Signsof Infectious Bronchiolitis. A Practical Approach for the General Doctors Archives of Internal Medicine. 2021; 11(2): 85–93 (in Russ.) doi: 10.20514/2226–6704–2021–11–2–85–93

8. Abigail V., Berniker., Travis S. Henry. Imaging of Small Airway Diseases. Radiol Clin North Am. 2016; 54(6): 1165–1181. doi: 10.1016/j.rcl.2016.05.009

9. Siboni S., Asti E., Sozzi M., Bonitta G., Melloni M., Bonavina L. RespiratorySymptoms and Complications of Zenker Diverticulum: Effect of Trans-O ral Septum Stapling. J Gastrointest Surg. 2017 Sep;21(9):1391–1395. doi: 10.1007/s11605–017-3435–9. Epub 2017 May 3. PMID: 28470561.

10. Sato H., Takeuchi M., Hashimoto S., et al. Esophageal diverticulum: New perspectives in the era of minimallyinvasive endoscopic treatment. World J Gastroenterol. 2019 Mar28;25(12):1457-1464. doi: 10.3748/wjg.v25.i12.1457


Review

For citations:


Shapovalova T.G., Ryabova A.Yu., Pakhomova A.L., Shashina M.M. Chronic aspiration bronchiolitis in a patient with esophageal diverticulum and gastroesophageal reflux disease. Experimental and Clinical Gastroenterology. 2022;(3):150-155. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-199-3-150-155

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