Role of endoscopy in eosinophilic esophagitis
Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease involving inflammation of the esophagus. Endoscopy is essential in the diagnosis and treatment of EoE and shows typical findings, including esophageal edema, rings, exudates, furrows, and stenosis. However, studies involving pediatr...
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| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2025-01-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://www.e-ce.org/upload/pdf/ce-2024-023.pdf |
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| author | Eun-Jin Yang Kee Wook Jung |
| author_facet | Eun-Jin Yang Kee Wook Jung |
| author_sort | Eun-Jin Yang |
| collection | DOAJ |
| description | Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease involving inflammation of the esophagus. Endoscopy is essential in the diagnosis and treatment of EoE and shows typical findings, including esophageal edema, rings, exudates, furrows, and stenosis. However, studies involving pediatric and adult patients with EoE suggest that even a normally appearing esophagus can be diagnosed as EoE by endoscopic biopsy. Therefore, in patients with suspected EoE, biopsy samples should be obtained from the esophagus regardless of endoscopic appearance. Moreover, follow-up endoscopies with biopsy after therapy initiation are usually recommended to assess response. Although previous reports of endoscopic ultrasonography findings in patients with EoE have shown diffuse thickening of the esophageal wall, including lamina propria, submucosa, and muscularis propria, its role in EoE remains uncertain and requires further investigation. Endoscopic dilation or bougienage is a safe and effective procedure that can be used in combination with medical and/or dietary elimination therapy in patients with esophageal stricture for the management of dysphagia and to prevent its recurrence. |
| format | Article |
| id | doaj-art-8c9236fe80734e01bf2df44b798f815a |
| institution | Kabale University |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-8c9236fe80734e01bf2df44b798f815a2025-02-03T08:08:03ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-01-015811910.5946/ce.2024.0237903Role of endoscopy in eosinophilic esophagitisEun-Jin YangKee Wook JungEosinophilic esophagitis (EoE) is a chronic immune-mediated disease involving inflammation of the esophagus. Endoscopy is essential in the diagnosis and treatment of EoE and shows typical findings, including esophageal edema, rings, exudates, furrows, and stenosis. However, studies involving pediatric and adult patients with EoE suggest that even a normally appearing esophagus can be diagnosed as EoE by endoscopic biopsy. Therefore, in patients with suspected EoE, biopsy samples should be obtained from the esophagus regardless of endoscopic appearance. Moreover, follow-up endoscopies with biopsy after therapy initiation are usually recommended to assess response. Although previous reports of endoscopic ultrasonography findings in patients with EoE have shown diffuse thickening of the esophageal wall, including lamina propria, submucosa, and muscularis propria, its role in EoE remains uncertain and requires further investigation. Endoscopic dilation or bougienage is a safe and effective procedure that can be used in combination with medical and/or dietary elimination therapy in patients with esophageal stricture for the management of dysphagia and to prevent its recurrence.http://www.e-ce.org/upload/pdf/ce-2024-023.pdfendoscopic dilationendoscopic ultrasonographyendoscopyeosinophilic esophagitis |
| spellingShingle | Eun-Jin Yang Kee Wook Jung Role of endoscopy in eosinophilic esophagitis Clinical Endoscopy endoscopic dilation endoscopic ultrasonography endoscopy eosinophilic esophagitis |
| title | Role of endoscopy in eosinophilic esophagitis |
| title_full | Role of endoscopy in eosinophilic esophagitis |
| title_fullStr | Role of endoscopy in eosinophilic esophagitis |
| title_full_unstemmed | Role of endoscopy in eosinophilic esophagitis |
| title_short | Role of endoscopy in eosinophilic esophagitis |
| title_sort | role of endoscopy in eosinophilic esophagitis |
| topic | endoscopic dilation endoscopic ultrasonography endoscopy eosinophilic esophagitis |
| url | http://www.e-ce.org/upload/pdf/ce-2024-023.pdf |
| work_keys_str_mv | AT eunjinyang roleofendoscopyineosinophilicesophagitis AT keewookjung roleofendoscopyineosinophilicesophagitis |