Pediatric eosinophilic esophagitis: a review for the clinician.
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
22 Nov 2021
22 Nov 2021
Historique:
received:
29
01
2021
accepted:
27
10
2021
entrez:
23
11
2021
pubmed:
24
11
2021
medline:
19
1
2022
Statut:
epublish
Résumé
Eosinophilic esophagitis (EoE) is a chronic clinical-pathologic disease characterized by eosinophilic infiltration of the esophageal epithelium with esophageal dysfunction symptoms.EoE can occur at any age and has different clinical manifestations depending on the age onset.To date, esophago-gastroduodenal endoscopy (EGD) with biopsy is the gold-standard for EoE diagnosis.According to the recent consensus guidelines, proton pump inhibitors, corticosteroids and elimination diets could be a first-line therapy option. The aim of the treatment is clinical and histological remission for preventing long-lasting untreatable fibrosis.A multidisciplinary approach (allergist, gastroenterology, dietitian, and pathologist) is recommended for managing patients affected by EoE, given the complexity of its treatment.This review will provide a practical guide to assist pediatricians treating children with EoE.Moreover, it highlights the unmet needs in diagnosis and treatment that require urgent attention from the scientific community in the aim of improving the management of patients with EoE.
Identifiants
pubmed: 34809686
doi: 10.1186/s13052-021-01178-2
pii: 10.1186/s13052-021-01178-2
pmc: PMC8609874
doi:
Substances chimiques
Glucocorticoids
0
Proton Pump Inhibitors
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
230Informations de copyright
© 2021. The Author(s).
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