David A. Johnson MD, FACP, FACG, FASGE (Professor of Medicine, Chief of Gastroenterology)
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The study of eosinophilic esophagitis (EOE) is an emerging field in adult gastroenterology that has attracted increasing attention in recent years. This disorder is commonly underdiagnosed but is now being recognized in patients presenting with dysphagia and typical endoscopic findings. In this review, Dr David Johnson describes the epidemiology, various clinical presentations, diagnostic approaches, and therapeutic modalities of EOE. This review emphasizes the need for high suspicion; proper biopsy protocol; and, for most patients, the need for topical steroids for treatment.