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Eosinophilic Esophagitis: Incidence, Diagnosis, Management, and Future Directions. Gastroenterology clinics of North America Fernandez-Becker, N. Q. 2021; 50 (4): 825-841

Abstract

Eosinophilic esophagitis (EoE) is an antigen-mediated esophageal disease defined by the presence of esophageal eosinophilia and symptoms of esophageal dysfunction. The pathophysiology involves an allergen-driven Th2 T cell response that triggers infiltration of eosinophils into the esophagus leading to inflammation, remodeling, and fibrosis. This results in disruption of esophageal function and accompanying symptoms - most notably dysphagia. Effective therapies target inflammation or fibrostenotic complications and include proton pump inhibitors, swallowed topical steroids, dietary exclusion, and dilation. Clinical trials testing promising biologic therapies are ongoing.

View details for DOI 10.1016/j.gtc.2021.08.001

View details for PubMedID 34717873