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Eosinophilic Esophagitis, Pediatric

Seema Khan, MD and Hemant P. Sharma, MD, MS, MHS Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Eosinophilic esophagitis (EoE) is a chronic immune-mediated esophageal disease characterized clinically by variable symptoms of esophageal dysfunction and pathologically by localized...

DIAGNOSIS

ALERT

Any patient who presents with esophageal food impaction should be evaluated for EoE. More than half of patients with food impaction are ultimately diagnosed with EoE.

 

HISTORY

  • Although ma...

TREATMENT

Dietary therapy 
  • Elemental diet

    • Use amino acid–based formula for 100% of caloric requirements.

    • Highest efficacy with a histologic response in nearly 91%

    • Reintroduction of foods into diet should ...

ONGOING CARE

COMPLICATIONS

  • Feeding difficulties

  • Esophageal strictures

  • Small-caliber esophagus

  • Esophageal perforation

  • Esophageal fungal or viral superinfection

ADDITIONAL READING

  • Arias A, González-Cervera J, Tenias JM, et al. Efficacy of dietary interventions for inducing histologic remission in patients with eosinophilic esophagitis: a systematic review and...

CODES

ICD9

530.13 Eosinophilic esophagitis 

ICD10

K20.0 Eosinophilic esophagitis 

SNOMED

235599003 eosinophilic esophagitis (disorder) 

FAQ

  • Q: What are the goals of EoE treatment?

  • A: There is no agreed on definition of EoE remission. Treatment goals include symptom reduction, decrease in esophageal eosinophilia to <15 eosinophils/HP...

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