Recent Advances in the Recognition and Management of Eosinophilic Esophagitis

Autor: Gregory Eustace, Xianyong Gui, Marietta Iacucci
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Canadian Journal of Gastroenterology and Hepatology, Vol 29, Iss 5, Pp 237-240 (2015)
Druh dokumentu: article
ISSN: 2291-2789
2291-2797
DOI: 10.1155/2015/403108
Popis: The incidence and recognition of eosinophilic esophagitis is increasing. Pathophysiological understanding of eosinophilic esophagitis is improving and an immunological reaction to ingested food is likely to play a significant role. Patients present with dysphagia and food bolus obstruction. Both histological and endoscopic criteria have been developed and validated. Dietary therapy, topical steroid therapy, proton pump inhibitors and endoscopic dilation are the main approaches to therapy; however, novel targeted therapies are being developed. Among the food items commonly implicated are wheat, dairy, nuts, soy, shellfish and eggs. A multidisciplinary approach to management in dedicated clinics may yield the best results.
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