Lessons learned: a safe and effective approach to esophageal dilation in eosinophilic esophagitis.

Andrew Canakis, Evan S Dellon

Journal: Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus 2025;38(4):

PMID: 40663644

Abstract

Eosinophilic esophagitis (EoE) has emerged as a widely recognized disease process, and medical and diet therapies can provide effective anti-inflammatory treatment. However, the progressive fibrostenotic nature of EoE leads to esophageal remodeling and strictures, as well as clinical symptoms of dysphagia and food impaction. In this context, esophageal dilation during endoscopy provides effective symptomatic relief and is an important adjunct therapy. Recognition of esophageal strictures and safe dilation practices is paramount for providers who care for patients with EoE. This review will describe our approach for safe and effective endoscopy management of esophageal strictures in EoE.

© The Author(s) 2025. Published by Oxford University Press on behalf of the International Society for Diseases of the Esophagus. All rights reserved. For commercial re-use, please contact [email protected] for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact [email protected].

Address: Division of Gastroenterology & Hepatology, University of North Carolina School of Medicine, 101 Manning Drive, Chapel Hill, North Carolina, 27599, USA.; Division of Gastroenterology & Hepatology, University of North Carolina School of Medicine, 101 Manning Drive, Chapel Hill, North Carolina, 27599, USA.; Center for Esophageal Diseases & Swallowing, University of North Carolina School of Medicine, CB#7080, Bioinformatics Building, 130 Mason Farm Road, Chapel Hill, NC 27599-7080, USA.
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