I use it to find the narrowest point as well as to help me decide which balloon size to use at the beginning of the dilation. Thanks for the question! #EndoFLIP

There are times where we will do a slow introduction of milk, beginning with baked and then starting regular milk. This may helps kids have a less restrictive diet if restricted.

There are studies trying to identify #biomarkers, less invasive ways of monitoring disease, trials to figure out the exact food. There are also several biologics in development. The esophageal string test is a non-invasive way to gather esophageal secretions and detect EoE.

Great question! That would be a good study. Because diagnosis relies on endoscopy, access to pediatric gastroenterologist can be an obstacle.

Check this out: pubmed.ncbi.nlm.nih.gov/3600…

There is evidence that aeroallergens cause esophageal eosinophilia. Aeroallergens may cause EoE exacerbations and patients may need management of rhinitis during certain seasons. It is likely a rare entity that remains mostly discussed in case reports.

It allows the physician to monitor diameter and distensibility overtime and assess for subtle narrowing that may not be picked up by regular endoscopy.

Its nice to start with #PPI as it is safe and effective and can get about 40% of kids into remission.

annallergy.org/article/S1081… This expert guideline shares some clinical scenarios where #dupilumab should be considered.

It has been nearly a year since its official @US_FDA approval for EoE, however, there are no defined criteria carved out in the literature yet. It should be considered for those patients with multiple comorbid atopic conditions, refractory to current therapy, poor compliance

Fungal esophagitis can occur in a small number of patients but is treatable (<10%). And in kids who are on many topical steroids (inhaled/topical) it is good to keep an eye on AM cortisol

If in mucosal remission, could attempt to wean to half dose and then rescope in 12-16 weeks. If discontinuing, would recommend pivoting to another treatment.

Based on a repeat endoscopy, if an #EoE patient does not have mucosal improvement, would recommend discontinuation of a #PPI. Or potentially attempting to wean once a patient has achieved mucosal remission.

Thank you so much for having me! Excited to talk about #EoE

Congrats to @lab_hill on his stellar talk on the role of T cells in EGIDs at @AAAAI_org. #eoe #egid

Thank you to the division of GI at Robert Wood Johnson for inviting me to speak about #eoe my alma mater #rwjms

Had a wonderful time discussing fibrosis in #EoE with the Inflammation and Immunity folks at ClevClinic. Big thanks to @IBD_FloMD