Eosinophilic Esophagitis - Healthcare Professionals

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Elimination Diet based on SPTand/or APTEosinophil count5045403530252015105048.41.1Pre treatmentPost treatment• Average # foodallergens identified4.7 / pt• Clinical improvement:89%(131/146)• Histologicimprovement:77% (112/146)• Specific foodsidentified in 39 pts.• Most common foods:Milk, egg, soy & beefSpergel et al Ann Allergy, Asthma Immunol.2005; 95:336-343
Do Diets Based On Skin Prick• TeitelbaumTesting (SPT) Work?– All 8 children failed to demonstrate clinicalimprovement with elimination of foods that testedpositive to SPT.• Noel– All 10 children failed to respond to dietaryelimination of food antigens identified by SPT.• Gonsalves– SPT predicted only 22% of causal agentsTeitelbaum JE Gastroenterology 2002; 122:1216-1225Noel RJ Clin Gastoenterol Nutr 2004; 2: 568-575Gonsalves N Gastroenterology 2008; 134: A-104
Page 1 and 2: EosinophilicEsophagitisAshis Barad,
Page 3 and 4: The Birth of EoE• All resolvedcli
Page 5 and 6: Asthma of the Esophagus
Page 7 and 8: ndns,itiinraiet,ndroatis.toIs),isE;
Page 9 and 10: Conceptual Definition• Eosinophil
Page 11 and 12: Diagnostic Guideline• The disease
Page 13 and 14: Perspective:IBD - North America•
Page 15 and 16: EOSINOPHILIC ESOPHAGITIS IN CHILDRE
Page 17 and 18: Stereotypical PatientAsthmaYoung Ca
Page 19 and 20: GERD vs. EoE
Page 21 and 22: GERD vs. EoE• 10% of pediatric pa
Page 23 and 24: GERD vs. EoE• 4 groups of EoE- GE
Page 25 and 26: Who Should Undergo AnEndoscopy to I
Page 27 and 28: Upper Endoscopy• 33% of children
Page 29 and 30: Other Diagnostic Modalities• Uppe
Page 31 and 32: Gastrointestinal FoodHypersensitivi
Page 33 and 34: Seasonal Variation12andloneEPIDEMIO
Page 35 and 36: EoE Treatment• Medical- Steroids
Page 37 and 38: Topical swallowedcorticosteroids•
Page 39 and 40: A Randomized double-blindplacebo-co
Page 41 and 42: Elemental Diet• 164 children trea
Page 43: Drawbacks to Elemental Diet• Pala
Page 47 and 48: Atopy Patch Testing• Delayed type
Page 49 and 50: 6 Food Elimination Diet• 34/35 (9
Page 51 and 52: Food Antigens Identified viaSFED81%
Page 53 and 54: Treatment Scheme

Eosinophilic Esophagitis - Healthcare Professionals

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