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Medical and Nutrition Management of Eosinophilic Esophagitis in Children
Author(s) -
Feuling Mary Beth,
Noel Richard J
Publication year - 2010
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533610361608
Subject(s) - eosinophilic esophagitis , medicine , dysphagia , eosinophilia , esophagitis , disease , gastroenterology , vomiting , abdominal pain , esophageal disease , intensive care medicine , esophagus , reflux , surgery
Eosinophilic esophagitis (EoE), esophageal inflammation that occurs in the absence of acidification, is characterized by mucosal eosinophilia and epithelial proliferative changes. Depending on the patient's age, EoE may present as a feeding disorder, vomiting, abdominal pain, dysphagia, or food impaction. In the absence of a well‐delineated natural history, case reports suggest that in some individuals with EoE, the disease progresses to esophageal fibrosis and then presumably irreversible esophageal dysfunction. Successful management of EoE in children requires (1) identifying the causative agents for a given patient, (2) implementing effective medical and/or nutrition therapies, and (3) establishing a continuum of long‐term care that delivers the child to adulthood without esophageal dysfunction.