Eosinophilic Esophagitis in Children

Eosinophilic esophagitis is a chronic, immune/antigen-mediated esophageal inflammatory disease characterized by a pronounced eosinophilic infiltration of its mucous membrane. The occurrence of eosinophilia and damage of the esophageal mucous membrane is caused by exposure to food and aeroallergens,...

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Main Authors: Tatyana N. Budkina, Igor S. Sadikov, Svetlana G. Makarova, Maksim M. Lokhmatov, Aleksandra V. Surzhik, Oksana A. Ereshko
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2016-08-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/1635
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author Tatyana N. Budkina
Igor S. Sadikov
Svetlana G. Makarova
Maksim M. Lokhmatov
Aleksandra V. Surzhik
Oksana A. Ereshko
author_facet Tatyana N. Budkina
Igor S. Sadikov
Svetlana G. Makarova
Maksim M. Lokhmatov
Aleksandra V. Surzhik
Oksana A. Ereshko
author_sort Tatyana N. Budkina
collection DOAJ
description Eosinophilic esophagitis is a chronic, immune/antigen-mediated esophageal inflammatory disease characterized by a pronounced eosinophilic infiltration of its mucous membrane. The occurrence of eosinophilia and damage of the esophageal mucous membrane is caused by exposure to food and aeroallergens, by genetic predisposition, and by activation of immune responses mediated by T-helper 2. In pediatric, eosinophilic esophagitis is most common in preschool and school-aged children with a burdened allergic history. Clinically, eosinophilic esophagitis is manifested by epigastric pain, symptoms similar to gastroesophageal reflux disease, and dysphagia. Diagnosis of eosinophilic esophagitis is based on clinical symptoms, characteristic endoscopic and morphological changes in the esophageal mucous membrane. The article presents algorithms for examination, dynamic observation and treatment of children with eosinophilic esophagitis, developed by The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN), describes the recommendations for biopsy of the esophageal mucous membrane when eosinophilic esophagitis is suspected. Treatment of children with eosinophilic esophagitis is based on the following approaches: trial treatment by proton pump inhibitors for 2 months, diet correction and, if ineffective, the use of topical corticosteroids.
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1682-5535
language English
publishDate 2016-08-01
publisher "Paediatrician" Publishers LLC
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series Вопросы современной педиатрии
spelling doaj-art-b8ffa51a51934dcaa3ba077f643fdb5b2025-08-20T03:34:42Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352016-08-0115323924910.15690/vsp.v15i3.15601597Eosinophilic Esophagitis in ChildrenTatyana N. Budkina0Igor S. Sadikov1Svetlana G. Makarova2Maksim M. Lokhmatov3Aleksandra V. Surzhik4Oksana A. Ereshko5Scientific Center of Children’s Health, Moscow, Russian FederationScientific Center of Children’s Health, Moscow, Russian FederationScientific Center of Children’s Health, Moscow, Russian Federation I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationScientific Center of Children’s Health, Moscow, Russian Federation I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationNutricia LLC, Moscow, Russian FederationScientific Center of Children’s Health, Moscow, Russian Federation I.M. Sechenov First Moscow State Medical University, Moscow, Russian FederationEosinophilic esophagitis is a chronic, immune/antigen-mediated esophageal inflammatory disease characterized by a pronounced eosinophilic infiltration of its mucous membrane. The occurrence of eosinophilia and damage of the esophageal mucous membrane is caused by exposure to food and aeroallergens, by genetic predisposition, and by activation of immune responses mediated by T-helper 2. In pediatric, eosinophilic esophagitis is most common in preschool and school-aged children with a burdened allergic history. Clinically, eosinophilic esophagitis is manifested by epigastric pain, symptoms similar to gastroesophageal reflux disease, and dysphagia. Diagnosis of eosinophilic esophagitis is based on clinical symptoms, characteristic endoscopic and morphological changes in the esophageal mucous membrane. The article presents algorithms for examination, dynamic observation and treatment of children with eosinophilic esophagitis, developed by The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN), describes the recommendations for biopsy of the esophageal mucous membrane when eosinophilic esophagitis is suspected. Treatment of children with eosinophilic esophagitis is based on the following approaches: trial treatment by proton pump inhibitors for 2 months, diet correction and, if ineffective, the use of topical corticosteroids.https://vsp.spr-journal.ru/jour/article/view/1635childreneosinophilic esophagitisesophagogastroduodenoscopydiet correctiontreatment.
spellingShingle Tatyana N. Budkina
Igor S. Sadikov
Svetlana G. Makarova
Maksim M. Lokhmatov
Aleksandra V. Surzhik
Oksana A. Ereshko
Eosinophilic Esophagitis in Children
Вопросы современной педиатрии
children
eosinophilic esophagitis
esophagogastroduodenoscopy
diet correction
treatment.
title Eosinophilic Esophagitis in Children
title_full Eosinophilic Esophagitis in Children
title_fullStr Eosinophilic Esophagitis in Children
title_full_unstemmed Eosinophilic Esophagitis in Children
title_short Eosinophilic Esophagitis in Children
title_sort eosinophilic esophagitis in children
topic children
eosinophilic esophagitis
esophagogastroduodenoscopy
diet correction
treatment.
url https://vsp.spr-journal.ru/jour/article/view/1635
work_keys_str_mv AT tatyananbudkina eosinophilicesophagitisinchildren
AT igorssadikov eosinophilicesophagitisinchildren
AT svetlanagmakarova eosinophilicesophagitisinchildren
AT maksimmlokhmatov eosinophilicesophagitisinchildren
AT aleksandravsurzhik eosinophilicesophagitisinchildren
AT oksanaaereshko eosinophilicesophagitisinchildren