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The Eosinophilic Gastrointestinal Disease Program at Tufts Medical Center in Boston, MA provides diagnosis and treatment for Eosinophilic Esophagitis (EoE), a condition that causes inflammation in the esophagus in both adults and children. The inflammation is caused by immune cells called eosinophils, which not normally present in the esophagus.
Some of the most common symptoms of EoE in children include:
In adults, symptoms of EoE include:
To determine if your symptoms are caused by EoE, our expert physician will review your symptoms and any necessary diagnostic tests, including an upper endoscopy with esophageal biopsies. Once we understand the cause of your symptoms and the presence of EoE, we can determine the best way to treat your unique condition.
The management of EoE includes pharmacologic, endoscopic and dietary therapy. The goal is to relieve symptoms and to get rid of the inflammation in the esophagus. Therapy is individualized depending on clinical symptoms, endoscopic findings, histological assessment and personal preference.
Yes - Approximately 70% of patients respond well to dietary manipulations. The food allergy that is associated with EoE is quite different from the "classic" food allergy. Unlike "classic" food allergy, ingestion of food(s) causing EoE only affects the esophagus and does not cause the typical allergic reactions such as hives, swelling, wheezing or anaphylaxis. Skin prick testing, patch testing and blood tests may be helpful in identifying the food trigger(s) in some cases.