Eosinophilic Esophagitis: Update Course 2015
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Topic Overview
Key Takeaways
- Eosinophilic esophagitis (EE) is increasingly recognized but was previously under-diagnosed in pediatric populations.
- EE can present in very young children, though it's less common in infants; early endoscopic evaluation is warranted when suspected.
- Rising food allergy prevalence correlates with increased EE incidence, requiring aggressive diagnostic workup including scope and biopsy.
- Multidisciplinary collaboration with motility teams is essential for comprehensive EE management in pediatric patients.
- Centers with longstanding EE research experience (like Cincinnati) emphasize careful patient selection for surgical referral.
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Transcript
So, Greg, I, I want, can you spend, uh, eosinophilic esophagitis, definitely a newer hot topic now. It's really sexy right now. It's the new thing that we've under-recognized for all this time. You've mentioned that it's not something you see in the infant. When do we start seeing EE? So clearly this is not my area of expertise. We have a lot of other people in this room who focus more on, on, on I don't disorders, although we do all of us in Cincinnati work with our motility team fairly consistently for this population. They have seen kids really early with EE, and this is where, you know, again, maybe it's center specific. Where we have the opportunity to interact with people who focus on it. EE is not new for us because really a lot of the originating ideas came from Cincinnati and so we're working with people who've been doing it for the last 1015 years. And again, those are those patients are the ones they're very careful about sending to us for consideration. This case aside. It is a little bit less likely given how early the symptoms began, but our team would be pretty aggressive about scoping, biopsying, making sure we're not missing EE, because in this day and age with the prevalence of allergies, it's becoming an issue across the board. The frequency of food allergies is skyrocketing in the PES population.