Learn from Women in GI (On-Demand) | September 2021-Esophagology: Case Discussion 3 - Refractory EoE: What to do?

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

Video Transcription

Video Summary

The video discusses a case of refractory eosinophilic esophagitis (EOE), a condition characterized by inflammation of the esophagus. The patient is a 30-year-old male with a history of intermittent dysphagia who presented to the ER with food impaction. Endoscopy revealed edema, white plaques, circumferential folds, and stenosis in the esophagus. The patient was treated with omeprazole and subsequently started on budesonide. Repeat endoscopy showed some improvement, but biopsies showed increased eosinophils. The panel discusses the management of refractory EOE, including optimizing budesonide therapy, considering diet therapy, and potential use of PPIs and alternative dilation techniques. The timing of repeated testing and the availability of newer therapies are also discussed. The video includes a panel discussion with Dr. David Katzka, Dr. Felice Schnoll-Sussman, and Dr. Philip Katz.

Asset Subtitle

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

Keywords

refractory eosinophilic esophagitis

inflammation of the esophagus

dysphagia

endoscopy

budesonide therapy