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2015 ; 61
(8
): 687-90
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English Wikipedia
Diagnosis and management of eosinophilic esophagitis in children
#MMPMID26505065
Teoh T
; Chan ES
; Avinashi V
; Ko HH
; Goldman RD
Can Fam Physician
2015[Aug]; 61
(8
): 687-90
PMID26505065
show ga
QUESTION: After a few years of difficulty swallowing solids and feeling like food
was getting stuck, a 13-year-old boy in my practice with peanut allergy and
asthma was recently diagnosed with eosinophilic esophagitis (EoE). What is EoE
and how is it diagnosed and managed? ANSWER: Eosinophilic esophagitis is an
immune-mediated disease resulting in inflammation of the esophagus. It is
increasing in prevalence and incidence in countries like Canada, and frequently
occurs in children with other allergic conditions. Unexplained feeding
difficulties, vomiting, and solid-food dysphagia, especially in boys with atopy,
supports the possibility of having EoE. A formal diagnosis is obtained by
reviewing esophageal biopsies obtained through upper endoscopy performed while
the patient is taking a proton pump inhibitor. Once EoE has been established,
management should involve working collaboratively with gastroenterology and
allergy specialists. Medical or dietary treatments are acceptable therapeutic
approaches.