Eosinophilic esophagitis
2024

Understanding Eosinophilic Esophagitis

publication 10 minutes Evidence: moderate

Author Information

Author(s): Stephanie C. Erdle, Stuart Carr, Edmond S. Chan, Kara Robertson, Wade Watson

Primary Institution: University of British Columbia, BC Children’s Hospital

Hypothesis

What are the epidemiology, pathophysiology, diagnosis, treatment, and prognosis of eosinophilic esophagitis (EoE)?

Conclusion

Eosinophilic esophagitis is an atopic condition that requires careful diagnosis and management, with various treatment options available.

Supporting Evidence

  • Eosinophilic esophagitis is increasingly recognized as an atopic condition.
  • Endoscopic mucosal biopsy revealing ≥15 eosinophils/HPF is crucial for diagnosis.
  • Patients with EoE should be referred to an allergist for optimal management.
  • Elemental diets and empiric dietary restrictions show high rates of improvement.
  • Pharmacologic options include PPIs, topical corticosteroids, and biologics.

Takeaway

Eosinophilic esophagitis is a condition where the esophagus gets inflamed due to too many eosinophils, which are a type of white blood cell. It can cause problems like difficulty swallowing and needs special diets or medications to help.

Methodology

This review discusses the epidemiology, pathophysiology, diagnosis, treatment, and prognosis of eosinophilic esophagitis based on recent literature.

Potential Biases

Potential conflicts of interest from funding sources supporting the publication.

Limitations

The review does not provide new experimental data and relies on existing literature, which may have varying quality.

Participant Demographics

Eosinophilic esophagitis predominantly affects Caucasian males, with variations in prevalence across different ethnic groups.

Digital Object Identifier (DOI)

10.1186/s13223-024-00929-0

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