Misdiagnosis Analysis of 14 Cases of Exfoliative Esophagitis
SANG Rong-xia
GUO Wei jun
LI Ning
LI Xiao
SUN Xun
Abstract：Objective To analyze the clinical features, misdiagnosis causes and precautionary measures of exfolia-tive esophagitis. Methods Clinical data of 14 patients out of 60 patients misdiagnosed with exfoliative esophagitis during February 1998 and June 2014 in our hospital was retrospectively analyzed. Results The main symptoms of the group was retrosternal or xiphoid pain, with swallowing pain and dysphagia in 9 cases, nausea and vomiting in 6 cases, melena in 4 ca-ses. The misdiagnosis rate was 23. 3% and the misdiagnosed time was from 4 h to 5 d. 9 patients were misdiagnosed in other hospitals, and 5 patients were misdiagnosed in our hospital. 4 patients were misdiagnosed with myocardial infarction, 3 were misdiagnosed with reflux esophagitis, 3 were misdiagnosed with tumors of esophagus, 2 were misdiagnosed with angina pecto-ris, and 2 were misdiagnosed with aortic dissection. The treatment as misdiagnosed conditions was ineffective. The 14 patients were diagnosed as having exfoliative esophagitis under electronic gastroscope. After a 7-15 d conventional therapy, clinical symptoms of the 14 patients subsided. Esophageal mucosa wound healing was observed under endoscopy 3 months later. Con-clusion If the patient with retrosternal pain or xiphoid pain as the main symptoms, clinicians should pay attention to the di-gestive tract symptoms and take exfoliative esophagitis into account. Chest CT examination can provide indirect indications. E-lectronic gastroscopy is the best way to confirm diagnosis.
Keywords：EsophagitisDiagnostic errorMyocardial infarctionEsophageal neoplasmCoronary disease
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 23-25 )