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Optimizing the Endoscopic Examination in Eosinophilic Esophagitis

  • Evan S. Dellon
    Correspondence
    Reprint requests Address requests for reprints to: Evan S. Dellon, MD, MPH, CB#7080, Bioinformatics Building, 130 Mason Farm Road, UNC-CH, Chapel Hill, North Carolina 27599-7080. fax: (919) 843-2508.
    Affiliations
    Center for Esophageal Diseases and Swallowing, and Center for Gastrointestinal Biology and Disease, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
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Published:August 02, 2021DOI:https://doi.org/10.1016/j.cgh.2021.07.011
      With its increasing incidence and prevalence, providers will encounter eosinophilic esophagitis (EoE) more commonly in clinical practice. In the endoscopy suite, in particular, the suspicion for this condition should be high. Prior studies have shown that ~6% of all patients undergoing upper endoscopy for any reason, >15% having endoscopy for dysphagia, and >50% requiring endoscopy in the setting of a food impaction, will be diagnosed with EoE.
      • Dellon E.S.
      • Hirano I.
      Epidemiology and natural history of eosinophilic esophagitis.
      In this context, a careful esophageal examination is critical. For EoE, this helps to not only optimize diagnosis, but allows potential therapeutics, such as dilation in patients with esophageal strictures or narrowing, and sets the stage for monitoring treatment response and assessing outcomes.

      Abbreviations used in this paper:

      EoE (eosinophilic esophagitis), EREFS (EoE Endoscopic Reference Score)
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