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Case Discussion - Adolescent EoE
Case Discussion - Adolescent EoE
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Video Transcription
Video Summary
The video transcript describes a medical case study and discussion focusing on a 12-year-old male with poor growth and potential eosinophilic esophagitis (EOE). The case history includes asthma, seasonal allergies, chronic nausea, and a history of vomiting that has improved. The discussion involves recommending endoscopy and analyzing symptomatology differences between pediatric and adult EOE presentations. Key points include the importance of early diagnosis and treatment to prevent the progression of EOE to fibrotic diseases and emphasizing that children and adults may have varying symptoms and disease progression. Treatment options such as PPI, topical steroids, and endoscopic dilation were discussed, highlighting the necessity for patient-specific approaches and follow-up. Additionally, the utility and methodology of endoscopic tools like FLIP for assessing esophagus diameter and motility were outlined. Special attention to shared decision-making, particularly involving parents for pediatric patients, was discussed, alongside the need to balance symptom management and ensuring comprehensive patient care. The discussion also touched on potential overlaps with other conditions and multidisciplinary approaches involving ENT and pulmonary function tests.
Asset Subtitle
Lead Faculty: Diana Snyder, MD
Other Faculty: Neha Mathur, MD
Keywords
eosinophilic esophagitis
pediatric EOE
endoscopy
symptomatology
treatment options
FLIP tool
shared decision-making
multidisciplinary approach
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