ASGE Esophagology General GI Practice Virtual Program (LIVE Virtual) | April 2021-Case Discussion 3 - Refractory EoE: What to do?

Case Discussion 3 - Refractory EoE: What to do? - Sravanthi Parasa

Video Transcription

Video Summary

The video discusses a case of refractory eosinophilic esophagitis (EOE) and focuses on recognizing and managing these cases in clinical practice. The patient is a 30-year-old male with a history of intermittent dysphagia for five years. On examination, the patient had edema of the mucosal lining, circumferential folds, and white plaques. Endoscopy revealed an intrinsic stenosis, which was dilated using an esophageal dilator. Biopsies showed a high number of eosinophils in the esophagus. The patient was started on budesonide treatment, which led to some improvement in symptoms but an increased number of eosinophils. The panel discusses the criteria for diagnosing refractory EOE, medication compliance, diet therapy, and future treatment options.

Asset Subtitle

Panel: Amitabh Chak, Shivangi Kothari, David Katzka, Philip Katz, Schnoll-Sussman, Vani Konda

Keywords

refractory eosinophilic esophagitis

clinical practice

biopsies

eosinophils

treatment options