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Eosinophilic Esophagitis

Reviewed 06/2019
 


BASICS

DESCRIPTION

A chronic, local, immune-mediated, esophageal disease characterized clinically in adults by dysphagia, food impaction, and heartburn and in children with nonspecific abdominal compla...

DIAGNOSIS

There are no pathognomonic findings for EoE. Diagnosis is made by esophageal endoscopy and biopsy. 

HISTORY

  • Solid food dysphagia and food impaction are the most common symptoms and are usually...

TREATMENT

End points of therapy of EoE include improvements in clinical symptoms and reducing esophageal eosinophilic inflammation (1)[A]. 

MEDICATION

First Line

  • PPIs added to the most recent guidelines ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • EoE is a chronic disease with symptoms commonly recurring with nonadherence to dietary or medical interventions. Although not yet standard therapy, consider maint...

REFERENCES

1
Dellon ES, Gonsalves N, Hirano I, et al. ACG clinical guideline: evidenced based approach to the diagnosis and management of esophageal eosinophilia and eosinophilic esophagitis (EoE). Am ...

ADDITIONAL READING

  • Bohm ME, Richter JE. Review article: oesophageal dilation in adults with eosinophilic oesophagitis. Aliment Pharmacol Ther.  2011;33(7):748–757. [View Abstract on OvidMedline]

  • D...

CODES

ICD10

K20.0 Eosinophilic esophagitis 

ICD9

530.13 Eosinophilic esophagitis 

SNOMED

235599003 eosinophilic esophagitis (disorder) 

CLINICAL PEARLS

  • Consider EoE, particularly when young, male patients present with symptoms of food impaction or recurrent solid food dysphagia.

  • EoE mimics GERD. Endoscopic biopsy is required for the di...

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