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Eosinophilic esophagitis: overview of clinical management.

Authors :
Schoepfer AM
Hirano I
Katzka DA
Source :
Gastroenterology clinics of North America [Gastroenterol Clin North Am] 2014 Jun; Vol. 43 (2), pp. 329-44. Date of Electronic Publication: 2014 Mar 21.
Publication Year :
2014

Abstract

A validated disease-specific symptom-assessment tool for eosinophilic esophagitis (EoE) has yet to be approved by regulatory authorities for use in clinical trials. Relevant end points for daily practice include EoE-related symptoms and esophageal eosinophilic inflammation. Endoscopic features should also be taken into account when establishing a therapy plan. A reasonable clinical goal is to achieve a reduction in EoE-related symptoms and esophageal eosinophilic inflammation. Evidence is increasing to support an anti-inflammatory maintenance therapy, as this can reduce esophageal remodeling. In EoE patients in clinical remission, annual disease monitoring with symptom, endoscopic, and histologic assessments of sustained treatment response is recommended.<br /> (Copyright © 2014 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1558-1942
Volume :
43
Issue :
2
Database :
MEDLINE
Journal :
Gastroenterology clinics of North America
Publication Type :
Academic Journal
Accession number :
24813519
Full Text :
https://doi.org/10.1016/j.gtc.2014.02.014