What is the role of endoscopy in the workup of scleroderma?

Updated: Nov 13, 2018
  • Author: Sergio A Jimenez, MD, MACR, FACP, FRCP(UK Hon); Chief Editor: Herbert S Diamond, MD  more...
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Answer

Esophagogastroduodenoscopy with appropriate biopsies, esophageal manometry assessment, and pH monitoring studies should be performed to survey and evaluate the upper gastrointestinal system. [130, 131] The following alterations can be evaluated:

  • Reflux due to decreased lower esophageal sphincter pressure

  • Severe esophagitis

  • Candida esophagitis

  • Barrett metaplasia

  • Esophageal cancer

  • Gastric vascular antral ectasia (GAVE; dilated submucosal capillaries), with an endoscopic appearance that has been described as “watermelon stomach”


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