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Identifying Patients with Eosinophilic Esophagitis

  • Rebecca L. Gunter
  • Luke M. FunkEmail author
Chapter

Abstract

Eosinophilic esophagitis (EoE) is an increasingly common esophageal disorder that presents with symptoms similar to those seen in patients with GERD, including dysphagia, heartburn, and atypical chest pain. The diagnosis is confirmed by EGD and esophageal mucosal biopsies demonstrating an elevated number of intraepithelial eosinophils. Treatment strategies include diet modification, oral topical steroid therapy, and proton pump inhibitors. Endoscopic balloon dilation is used to treat esophageal remodeling and structuring that can result from long-standing EoE. There is no role for surgical intervention.

Keywords

GERD symptoms Atopy Topical steroids Dietary modification Esophageal fibrostenosis 

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Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Wisconsin Hospital and ClinicsMadisonUSA
  2. 2.Division of Minimally Invasive, Foregut, and Bariatric Surgery; Department of SurgeryUniversity of Wisconsin Hospital and ClinicsMadisonUSA

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