ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-Based Learning (Day Two) | March 2024-APP Journal Club

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Summary:<br />The document discusses a case study of a 34-year-old male with dysphagia, leading to a diagnosis of Eosinophilic Esophagitis (EOE) after an esophagogastroduodenoscopy (EGD) showed intraepithelial eosinophils. EOE is a chronic immune disease characterized by eosinophils infiltrating the esophagus, causing symptoms like dysphagia and chest pain. Treatment options include proton pump inhibitors (PPIs), topical steroids, and elimination diets. The document emphasizes the importance of proper diagnosis through biopsies and offers insights into various treatments like the "2-4-6 diet," which involves eliminating specific food groups like milk, wheat, eggs, nuts, and fish. Findings highlight that allergy testing may not always indicate causative foods for EOE, and esophageal dilation is considered a safe procedure in treating EOE-related strictures. Additionally, untreated EoE can lead to fibrostenotic progression, emphasizing the importance of timely diagnosis and intervention in managing this condition.

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Sarel Myburgh, APRN, CNP, MS and John Martin, MD, FASGE

Keywords

dysphagia

Eosinophilic Esophagitis

esophagogastroduodenoscopy

intraepithelial eosinophils

chronic immune disease

proton pump inhibitors

topical steroids

elimination diets

2-4-6 diet

esophageal dilation