How do you treat eosinophilic esophagitis?
M. Brian Fennerty • April 29th, 2012
We all are seeing this disease more often than in the past. Whereas the diagnostic criteria now seem firmly entrenched, the optimal treatment strategy remains to be determined. Treatments have included food avoidance, anti-secretory drugs, topical steroids, immunomodulators, and combinations of these approaches.
So I am interested in how you treat eosinophilic esophagitis.
What is your first line therapy?
Do you put every patient on a PPI?
Do you use food avoidance, and, if so, is it directed empirically or by allergy testing?
Which topical steroid do you use?
Do you treat before dilating?
How long do you treat, or do you maintain patients on therapy?
Let’s get the conversation rolling!