Eosinophilic esophagitis in adults: A concise overview of an evolving disease

Amir Mari, Emmanouela Tsoukali, Afif Yaccob

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Eosinophilic esophagitis (EoE) is a chronic inflammatory disease that encompasses esophageal symptoms along with eosinophilic infiltration of the esophageal epithelium. EoE is an evolving disease that has been a subject of interest to many researchers since the first studies recognized this condition as a new and distinct clinicopathological entity 25 years ago. Clinical presentation in adult patients may include dysphagia, food impaction, vomiting, and reflux symptoms. The diagnosis of EoE is based on the combination of clinical history suggestive of esophageal dysfunction, endoscopic features indicative of the disease, and histology revealing eosinophilic infiltration of the esophageal epithelium that persists after a trial of proton pump inhibitor therapy along with the exclusion of other disorders that may be associated with esophageal tissue eosinophilia. The interplay between EoE and gastroesophageal reflux disease (GERD) is complex, and differentiating these two conditions continues to be difficult and challenging in clinical practice. The mainstay treatment includes dietary modification, topical steroids, and/or endoscopic dilation. The primary care physician (PCP) plays an important role in improving patient care and quality of life by ensuring early referral and participating in management and follow-up. This article provides an overview of the current knowledge base regarding the disease including epidemiology, genetics, pathogenesis, common clinical presentations, the interplay between EoE and GERD, diagnostic approaches, and therapeutic options available to the PCP.

Original languageEnglish
Pages (from-to)75-83
Number of pages9
JournalKorean Journal of Family Medicine
Volume41
Issue number2
DOIs
StatePublished - Mar 2020

Bibliographical note

Publisher Copyright:
© 2020 The Korean Academy of Family Medicine.

Keywords

  • Diagnosis
  • Eosinophilic esophagitis
  • Management
  • Primary care physicians

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