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104654

Incidence of Nasal Polyps Recurrence Rate in Patients with Eosinophilic Esophagitis after Endoscopic Endonasal Surgery

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Otorhinolaryngology

Abstract

Background: Nasal polys [NPs] are frequently encountered inotorhinolaryngology practice. It had been proposed to share etiological origin with eosinophilic esophagitis [EOE]. However, there is not yet adequate estimations of this association and incidence of NPs recurrence after endonasal surgery in patients with EOE.    
Aim of the work: To evaluate incidence of recurrence of NPs after endoscopic endonasal surgery for patients with EOE.
Patients and Methods: 150 patients were included and divided into three groups: the control [CG] [50 patients indicated for gastroscopy]. The nasal polyp's subgroups consisted of 100 patients and further subdivided into two groups according to result of nasal biopsy into two subgroups, eosinophilic nasal polyps [ENP] group IIA; non-eosinophilic nasal polyps [NENP] group IIB. In NPs subgroups, sinonasal outcome test [SNOT22] had been performed to measure the health status and quality of life in patients with NPs through questions relating to their symptoms. The recurrence of nasal polyps were investigated after endoscopic sinus surgery and during follow up and outcome had been compared between groups.
Results: 22% suffered polyp recurrence after surgery during the follow-up period. Patients with EOE had a significantly higher recurrence rate of nasal polyps [100%] in comparison to 16.4% in EOE patients. These results indicate that, mucosal eosinophilia is a determinant factor in the recurrence of nasal polyps. Hence in patients with EOE [had mucosal eosinophilia] who underwent endonasal surgery, the recurrence of nasal polyps should be highly expected.
Conclusion: Mucosal eosinophilia in patients with EOE, and ENP are a more important prognostic factor in recurrence of nasal polyps.

DOI

10.21608/ijma.2020.31129.1128

Keywords

Nasal polyps, Eosinophilic esophagitis, Allergic Rhinitis, Eosinophilia, Sinonasal Outcome Test

Authors

First Name

Nabil Abdelghany

Last Name

Sarhan

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

nabelent@yahoo.com

City

Damietta

Orcid

-

First Name

Mohamed Abdelkawi

Last Name

Fathallah

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt

Email

mnegeib@yahoo.com

City

-

Orcid

-

First Name

Ashraf Abdalla

Last Name

Wahba

MiddleName

-

Affiliation

Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

drashrafwahba70@yahoo.com

City

-

Orcid

-

First Name

Ahmed Mohamed

Last Name

Rabie

MiddleName

-

Affiliation

Department of Pathology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.ahmed_rabie@azhar.edu.eg

City

-

Orcid

-

First Name

Sherief Abdelmohsen

Last Name

Mousa

MiddleName

-

Affiliation

Department of Hepatology and Gastroenterology, Asuit Faculty of Medicine, Al-Azhar University, Egypt

Email

sherief.mohsen@yahoo.com

City

-

Orcid

-

First Name

Ahmed Alboraey

Last Name

Kabeel

MiddleName

-

Affiliation

Department of Hepatology and Gastroenterology, Faculty of Medicine, Al-Azhar University, Egypt

Email

doctorkabil@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-05-28

Publish Date

2020-10-01

Page Start

741

Page End

748

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 741-748.pdf

PDF . 2.2MB

Link

https://ijma.journals.ekb.eg/article_104654.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=104654

Order

10

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Incidence of Nasal Polyps Recurrence Rate in Patients with Eosinophilic Esophagitis after Endoscopic Endonasal Surgery

Details

Type

Article

Created At

22 Jan 2023