Eosinophilic esophagitis: concepts, controversies, and evidence

Curr Gastroenterol Rep. 2009 Jun;11(3):220-5. doi: 10.1007/s11894-009-0034-2.


Eosinophilic esophagitis has become a prominent chronic esophageal disorder in clinical pediatric and adult gastroenterology. Its manifestations are protean in childhood, but dysphagia predominates the clinical presentation in adults. Adverse immune responsiveness to dietary antigens underlies most cases, as is reflected in clinical and histologic remission with appropriate diet management in the majority, although an understanding of the mechanisms underlying the inflammatory process remains incomplete. Intense investigations to explain the underpinnings of the disorder and to discover effective therapy are ongoing.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Catheterization
  • Diagnosis, Differential
  • Eosinophilia* / etiology
  • Eosinophilia* / pathology
  • Eosinophilia* / therapy
  • Esophagitis* / etiology
  • Esophagitis* / pathology
  • Esophagitis* / therapy
  • Esophagoscopy / methods*
  • Gastroesophageal Reflux* / complications
  • Histamine Antagonists / therapeutic use*
  • Humans
  • Hypersensitivity / complications
  • Intestinal Mucosa / pathology
  • Proton Pump Inhibitors / therapeutic use*
  • Risk Factors
  • Treatment Outcome


  • Anti-Inflammatory Agents
  • Histamine Antagonists
  • Proton Pump Inhibitors