Esofagitis eosinofílica: diagnóstico y manejo

Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease, induced by food allergens, clinically characterized by symptoms of esophageal dysfunction. Pathologically there is a predominant eosinophilic inflammation. This disease is relatively new, and its definitions have evolved over time...

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Autores principales:	Ballart,María Jesús, Monrroy,Hugo, Iruretagoyena,Mirentxu, Parada,Alejandra, Torres,Javiera, Espino,Alberto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Eosinophilic Esophagitis Food Hypersensitivity Gastroesophageal Reflux Proton Pump Inhibitors
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600831
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spelling	oai:scielo:S0034-988720200006008312020-09-29Esofagitis eosinofílica: diagnóstico y manejoBallart,María JesúsMonrroy,HugoIruretagoyena,MirentxuParada,AlejandraTorres,JavieraEspino,Alberto Eosinophilic Esophagitis Food Hypersensitivity Gastroesophageal Reflux Proton Pump Inhibitors Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease, induced by food allergens, clinically characterized by symptoms of esophageal dysfunction. Pathologically there is a predominant eosinophilic inflammation. This disease is relatively new, and its definitions have evolved over time. Its prevalence and incidence are increasing and causes clinical problems both in children and adults. Its symptoms include food impaction, dysphagia, symptoms that resemble gastroesophageal reflux, abdominal pain, and vomiting. It can also have extra-digestive symptoms such as rhinosinusitis, chronic cough, recurrent croup and hoarseness. EoE can be associated with other atopic conditions, such as asthma, eczema and food allergies. The diagnosis is made by the analysis of endoscopic biopsies (> 15 eosinophils per high power field). Proton pump inhibitors (PPIs) are currently accepted as a treatment for EoE. The clinical and pathological improvement with the use PPIs ceased to be a criterion to define Esophageal eosinophilia responsive to PPIs as a differential diagnosis, since this condition is currently considered within the EoE spectrum. There are three main treatment approaches for EoE: diet, drugs and dilation. Its diagnosis and early treatment are key to avoid or delay its complications, such as stenosis and severe esophageal dysfunction.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.6 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600831es10.4067/S0034-98872020000600831
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Eosinophilic Esophagitis Food Hypersensitivity Gastroesophageal Reflux Proton Pump Inhibitors
spellingShingle	Eosinophilic Esophagitis Food Hypersensitivity Gastroesophageal Reflux Proton Pump Inhibitors Ballart,María Jesús Monrroy,Hugo Iruretagoyena,Mirentxu Parada,Alejandra Torres,Javiera Espino,Alberto Esofagitis eosinofílica: diagnóstico y manejo
description	Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease, induced by food allergens, clinically characterized by symptoms of esophageal dysfunction. Pathologically there is a predominant eosinophilic inflammation. This disease is relatively new, and its definitions have evolved over time. Its prevalence and incidence are increasing and causes clinical problems both in children and adults. Its symptoms include food impaction, dysphagia, symptoms that resemble gastroesophageal reflux, abdominal pain, and vomiting. It can also have extra-digestive symptoms such as rhinosinusitis, chronic cough, recurrent croup and hoarseness. EoE can be associated with other atopic conditions, such as asthma, eczema and food allergies. The diagnosis is made by the analysis of endoscopic biopsies (> 15 eosinophils per high power field). Proton pump inhibitors (PPIs) are currently accepted as a treatment for EoE. The clinical and pathological improvement with the use PPIs ceased to be a criterion to define Esophageal eosinophilia responsive to PPIs as a differential diagnosis, since this condition is currently considered within the EoE spectrum. There are three main treatment approaches for EoE: diet, drugs and dilation. Its diagnosis and early treatment are key to avoid or delay its complications, such as stenosis and severe esophageal dysfunction.
author	Ballart,María Jesús Monrroy,Hugo Iruretagoyena,Mirentxu Parada,Alejandra Torres,Javiera Espino,Alberto
author_facet	Ballart,María Jesús Monrroy,Hugo Iruretagoyena,Mirentxu Parada,Alejandra Torres,Javiera Espino,Alberto
author_sort	Ballart,María Jesús
title	Esofagitis eosinofílica: diagnóstico y manejo
title_short	Esofagitis eosinofílica: diagnóstico y manejo
title_full	Esofagitis eosinofílica: diagnóstico y manejo
title_fullStr	Esofagitis eosinofílica: diagnóstico y manejo
title_full_unstemmed	Esofagitis eosinofílica: diagnóstico y manejo
title_sort	esofagitis eosinofílica: diagnóstico y manejo
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600831
work_keys_str_mv	AT ballartmariajesus esofagitiseosinofilicadiagnosticoymanejo AT monrroyhugo esofagitiseosinofilicadiagnosticoymanejo AT iruretagoyenamirentxu esofagitiseosinofilicadiagnosticoymanejo AT paradaalejandra esofagitiseosinofilicadiagnosticoymanejo AT torresjaviera esofagitiseosinofilicadiagnosticoymanejo AT espinoalberto esofagitiseosinofilicadiagnosticoymanejo
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Esofagitis eosinofílica: diagnóstico y manejo

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