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Pediatric Eosinophilic Esophagitis (EoE) Program

The eosinophilic esophagitis team includes gastroenterologists, allergists, dietitians and nurses who collaborate to manage medical and dietary symptoms, monitoring growth and nutrition of the child, and therapeutic interventions when needed. Patients with this condition can have a variety of symptoms, including vomiting, gastroesophageal reflux, and difficulty swallowing. The symptoms can be challenging and impact the quality of life of patients with this condition.

Conditions we treat

  • Eosinophilic colitis
  • Eosinophilic esophagitis
  • Eosinophilic gastritis

Gastrointestinal Allergies

  • Food protein induced enterocolitis syndrome
  • IgE mediated allergies in patients with gastrointestinal allergies

Transnasal endoscopy is a new procedure to evaluate and obtain biopsies of the esophagus. During a transnasal endoscopy, a small camera is placed through the nose into the esophagus to obtain biopsies. No anesthesia is needed and patients can resume normal activities right after the procedure is done. A topical numbing medication is used to make the procedure more comfortable, and patients wear virtual reality goggles to help them relax.

Treatment

Treatment of eosinophilic esophagitis and other gastrointestinal allergies can be challenging, with most children requiring either long-term medical therapy or dietary modification. Therapeutic interventions for this condition include:

  • Diagnostic/endoscopic monitoring of eosinophilic esophagitis
  • Dietitian guided dietary supplementation
  • Dietitian guided nutritional monitoring of macronutrient and micronutrient intake
  • Endoscopic esophageal and surgical dilations and injections of strictures
  • Feeding therapy
  • Medical and dietary therapy for eosinophilic esophagitis and other gastrointestinal allergies