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

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.