Eosinophilic Esophagitis: Etiology and Therapy

Annu Rev Med. 2021 Jan 27:72:183-197. doi: 10.1146/annurev-med-052819-023848. Epub 2020 Nov 23.

Abstract

Eosinophilic esophagitis (EoE) is a relatively recently identified but now frequently encountered antigen/immune-mediated disease which places significant burden on patients and the healthcare system. With its growing prevalence and recognition by healthcare providers in multiple disciplines, substantial progress has been made regarding the diagnostic criteria, clinical evaluation, tools for disease assessment, and immune pathways related to pathogenesis. Current treatment goals focus on the amelioration of inflammation and prevention of remodeling consequences using proton pump inhibitors, swallowed topical steroids, elimination diets, and esophageal dilation. Ongoing research holds promise for more efficacious and targeted therapies as well as a personalized approach to the care of patients with EoE.

Keywords: dysphagia; eosinophilic esophagitis; eosinophilic gastrointestinal disease; esophageal dilation; esophageal stricture; gastroesophageal reflux disease.

Publication types

  • Review

MeSH terms

  • Eosinophilic Esophagitis / diagnosis
  • Eosinophilic Esophagitis / drug therapy
  • Eosinophilic Esophagitis / etiology*
  • Esophagoscopy / methods*
  • Esophagus / diagnostic imaging*
  • Glucocorticoids / therapeutic use*
  • Humans
  • Proton Pump Inhibitors / therapeutic use*

Substances

  • Glucocorticoids
  • Proton Pump Inhibitors