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Endoscopy and biopsies are crucial for diagnosing eosinophilic esophagitis (EoE), assessing treatment, and managing complications. This review covers current endoscopic practices and emerging technologies for EoE management.

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Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Eosinophilic esophagitis (EoE) diagnosis relies heavily on endoscopic evaluation and mucosal biopsies to identify eosinophilia.
  • Endoscopy provides visual assessment of the esophagus, aiding in EoE diagnosis and identification of alternative conditions.
  • Therapeutic roles of endoscopy in EoE include monitoring treatment efficacy and managing complications like strictures and food impaction.

Purpose of the Study:

  • To review the current applications of endoscopy in the diagnosis and management of eosinophilic esophagitis (EoE).
  • To discuss the role of recently developed endoscopic technologies in managing EoE.
  • To highlight the importance of endoscopy and biopsies in assessing treatment response for EoE.

Main Methods:

  • Review of current literature and clinical practices regarding endoscopy in EoE.
  • Discussion of diagnostic criteria and visual findings associated with EoE during endoscopy.
  • Examination of therapeutic interventions performed via endoscopy for EoE complications.

Main Results:

  • Endoscopy and biopsies are indispensable for confirming or excluding mucosal eosinophilia in EoE.
  • Visual inspection during endoscopy can suggest EoE or point to other esophageal diseases.
  • Endoscopic assessment is key for evaluating treatment response and managing complications such as esophageal strictures.

Conclusions:

  • Endoscopy remains a cornerstone in the diagnosis, management, and treatment response assessment of eosinophilic esophagitis (EoE).
  • Emerging endoscopic technologies offer potential advancements in EoE care.
  • While less invasive methods are being explored, endoscopy and biopsies are currently essential for comprehensive EoE management.