2016 Volume 67 Issue 4 Pages 295-302
We herein report a case of dabigatran-induced severe esophagitis caused by compression of the esophagus by the tortuous descending aorta (dysphagia aortica). An 81-year-old woman underwent endoscopy for dysphagia. The endoscopy showed severe esophagitis with esophageal stenosis. Over the next two years, endoscopic findings indicated that esophagitis was intermittent with periods of exacerbation and periods of relative improvement. She stopped taking dabigatran without permission for several months, after which periodic endoscopy showed that esophagitis was significantly improved. Drug administration guidance, especially to elderly patients, is important. We should also pay attention to deformity of the esophageal lumen due to compression by other organs around the esophagus.
