Advanced Practice Provider EoE Program (Live/Virtual) | November 2024-Adolescent Case Studies and Debates

Video Transcription

Video Summary

The video discusses pediatric eosinophilic esophagitis (EOE), focusing on clinical presentation and management strategies tailored for children compared to adults. EOE in children often presents with varied symptoms due to its progression from inflammation to potential fibrosis if untreated. Early intervention is critical to avoid strictures. The symptomatology in children is broad and can include feeding difficulties, abdominal pain, and potentially atypical signs like regurgitation.<br /><br />The video presents several case studies:<br /><br />1. A 10-year-old with weight loss and restrictive eating due to postprandial abdominal pain, leading to a diagnosis of EOE treated effectively with Budesonide.<br /><br />2. A 16-year-old with presumed food allergies displaying allergy-like episodes due to EOE-related food impactions, also treated with Budesonide.<br /><br />3. A 17-year-old with EOE and GERD overlap who responded well to Dupilumab but needed GERD management.<br /><br />The discussion highlights the importance of considering a high clinical suspicion for EOE in children, even with nonspecific symptoms, and the potential need for endoscopy to rule out EOE and monitor treatment efficacy. The overlap between EOE and GERD, particularly in adolescents, suggests that integrated management approaches might be necessary. Close follow-up and personalized treatment decisions, including potential dietary interventions, medication, or endoscopic procedures like dilation and evaluation for fibrosis, are emphasized.

Asset Subtitle

Puanani E. Hopson, MS, DO

Keywords

pediatric eosinophilic esophagitis

clinical presentation

management strategies

Budesonide

Dupilumab

GERD overlap

endoscopy