|
KMID : 0614620220790030099
|
|
Korean Journal of Gastroenterology
2022 Volume.79 No. 3 p.99 ~ p.108
|
|
|
Diagnosis and Treatment of Eosinophilic Esophagitis
|
|
Kim Su-Jin
Choi Cheol-Woong
Hwang Cheong-Su
|
|
|
Abstract
|
|
|
Eosinophilic esophagitis (EoE) is a chronic, immune/antigen-mediated esophageal disease characterized by symptoms of esophageal dysfunction and eosinophil-predominant inflammation. The diagnostic criteria for EoE have changed with our growing knowledge over the past two decades. Esophageal eosinophilia, which responds histologically to a proton pump inhibitor (PPI) is not a distinct disease but a subset of EoE. An endoscopic scoring system that relies on the assessment of exudates, rings, edema, furrows, and strictures is a useful tool for assessing endoscopic severity. PPIs are regarded as safe and effective first-line treatments for EoE.
Oral topical corticosteroids or dietary therapy are also options for first-line treatment. Endoscopic dilation is effective for relieving the dysphagia symptoms of a patient with an esophageal stricture.
|
|
|
KEYWORD
|
|
|
Eosinophilic esophagitis, Proton pump inhibitors, Steroids
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|