Eosinophilic oesophagitis in children can be effectively managed with elimination diets and corticosteroids

Abstract

Eosinophilic oesophagitis, a chronic inflammatory disease of the oesophagus, is the most common cause of chronic oesophageal symptoms in children and young adults. Diagnosis requires consideration of both clinical symptoms and histopathology, as well as a trial of a proton pump inhibitor. Once correctly diagnosed, dietary eliminations and/or swallowed topical corticosteroids are the first treatment options to consider. Severe cases may require systemic corticosteroid therapy; the use of oesophageal dilation is reserved for emergencies.