Treatment of Eosinophilic Esophagitis: Overview, Current Limitations, and Future Direction

被引:35
作者
Bohm, Matthew [1 ]
Richter, Joel E. [2 ,3 ]
机构
[1] Temple Univ, Sch Med, Dept Med, Philadelphia, PA 19122 USA
[2] Temple Univ, Sch Med, Dept Gastroenterol, Philadelphia, PA 19122 USA
[3] Temple Univ, Sch Med, Dept Med, Philadelphia, PA 19122 USA
关键词
D O I
10.1111/j.1572-0241.2008.02116.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Eosinophilic esophagitis (EE) is an increasingly recognized syndrome presenting with upper gastrointestinal (UGI) symptoms in association with hypereosinophilia (>15 eosinophils/HPF) on esophageal mucosal biopsies. The pathogenesis is unknown, but the candidate etiologies include food and aeroallergen hypersensitivity and an unusual presentation of gastroesophageal reflux disease. This review will highlight the treatments of EE in children and adults. Current treatments are controversial, few data are available in adults, and long-term studies are almost nonexistent. We outline the limitations in the current studies and suggest seven major issues in the study design that must be addressed in future drug trials. (Am J Gastroenterol 2008;103:2635-2644)
引用
收藏
页码:2635 / 2644
页数:10
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