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Endoscopic Features of Eosinophilic Esophagitis

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Eosinophilic Esophagitis

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Eosinophilic esophagitis (EoE) is a chronic inflammatory disorder of children and adults. The disease is defined by clinicopathologic criteria, including symptoms of dysphagia and food impaction, esophageal biopsies with ≥15 eosinophils per high powered field and lack of response to antisecretory therapy. Patients with eosinophilic esophagitis have a wide variety of endoscopic findings and the disease does not have a uniform endoscopic appearance. In fact, one study suggested that only 38% of individuals thought to have eosinophilic esophagitis at the time of endoscopy had histologic confirmation of the disease and a subset of patients may also have an entirely normal appearing esophagus! Furthermore, endoscopic findings may vary by age. Endoscopy plays a key role in the diagnosis of EoE patients and the varied endoscopic features of this disease are the focus of this chapter.

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Correspondence to Gary W. Falk MD, MS .

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Leiman, D.A., Falk, G.W. (2012). Endoscopic Features of Eosinophilic Esophagitis. In: Liacouras, C., Markowitz, J. (eds) Eosinophilic Esophagitis. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60761-515-6_13

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  • DOI: https://doi.org/10.1007/978-1-60761-515-6_13

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-514-9

  • Online ISBN: 978-1-60761-515-6

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