Eosinophilic esophagitis: When to suspect and why to treat with proton pump inhibitors

Research output: Contribution to journalArticle

Abstract

Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease driven by food allergens that manifests with symptoms of esophageal dysfunction and eosinophil-predominate esophageal inflammation. Since the early 1990s, the frequency of EoE has exploded for unclear reasons. Treatment of EoE with diet therapy or topical steroids, which are potent anti-inflammatory agents, makes sense for management of an allergic condition triggered by food antigens. Recent consensus guidelines now include proton pump inhibitor therapy as an alternative first-line treatment. This review will provide an overview of when to suspect and how to diagnosis EoE, concepts surrounding pathogenesis and increasing incidence of this newly recognized esophageal condition, and a discussion on why proton pump inhibitors are now being used as a first-line treatment strategy.

Original languageEnglish (US)
Pages (from-to)21-28
Number of pages8
JournalPractical Gastroenterology
Volume43
Issue number1
StatePublished - Jan 2019
Externally publishedYes

ASJC Scopus subject areas

  • Gastroenterology

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