Table 2.
Histologic Findinga | Baseline On PPIs Median (Range) |
Week 1 Off PPIs Median (Range) |
Absolute Difference Baseline-Week 1 | Week 2 Off PPIs Median (Range) |
Absolute Difference Baseline-Week 2 |
---|---|---|---|---|---|
Intraepithelial lymphocytes | 0 (0–2) | 1 (1–2) | .67 95%CI .25 − 1.08 p=.005 |
1 (1–2) | .58 95%CI .26 − .91 p=.002 |
Intraepithelial neutrophils | 0 (0) | 0 (0–2) | .17 95%CI −.20 − .53 p=.32 |
0 (0–2) | .25 95%CI −.14 − .64 p=.18 |
Intraepithelial eosinophils | 0 (0–1) | 0 (0–1) | .08 95%CI −.10 − .27 p=.32 |
0 (0–1) | .08 95%CI −.10 − .27 p=.32 |
Basal cell and papillary hyperplasia | .5 (0–1) | 2 (1–3) | 1.25 95%CI .86 − 1.64 p=.002 |
2 (1–3) | 1.42 95%CI .91 − 1.92 p=.003 |
Spongiosis (dilated intercellular spaces) | .5 (0–1) | 2 (1–3) | 1.17 95%CI .80 − 1.53 p<.0001 |
2 (1–3) | 1.25 95%CI .86 − 1.65 p<.0001 |
CLE Measurementsb | Mean ± SD (n) | Mean ± SD (n) | Mean ± SD (n) | ||
Intercellular space distal esophagus (μm) | 3.2 ± 0.6 (n=8) | 4.0 ± 0.5 (n=8) | .82 95%CI .10 − 1.54 p=.031 |
5.1 ± 1.1 (n=8) | 1.91 95%CI 1.0 − 2.81 p=.002 |
Intercellular space proximal esophagus (μm) | 3.5 ± 0.5 (n=8) | 4.7 ± 1.3 (n=7) | 1.32 95%CI .05 − 2.60 p=.044 |
5.7 ± 1.2 (n=7) | .2.53 95%CI 1.62 − 3.45 p=.001 |
Capillary width distal esophagus (μm) | 11.0 ± 1.6 (n=7) | 14.1 ± 3.0 (n=7) | 3.03 95%CI .76 − 5.3 p=.017 |
15.0 ± 2.6 (n=6) | 3.87 95%CI .86 − 6.88 p=.021 |
Capillary width proximal esophagus (μm) | 10.9 ± 3.5 (n=6) | 13.8 ± 1.6 (n=6) | 3.30 95%CI −.55 − 7.14 p=.08 |
13.1 ± 2.5 (n=6) | 3.03 95%CI .78 − 5.28 p=.018 |
Histologic findings are scored on a scale of 0–3 (0=absent, 1=mild, 2=moderate, 3=severe). Comparisons were made using Wilcoxon signed-rank tests.
Technical issues (excessive motion artifact, equipment malfunction, patient inability to tolerate the large CLE endoscope) precluded obtaining CLE measurements in all patients at all time points. CLE measurements were made using ImageJ 1.48 software (National Institutes of Health, Bethesda, Maryland). Comparisons were made using paired samples t-tests.