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J Laryngol Otol. 2010 Jan;124(1):96-100. doi: 10.1017/S0022215109990636. Epub 2009 Jul 30.

Paediatric eosinophilic oesophagitis presenting to the otolaryngologist.

Author information

1
Department of Otolaryngology, St George's Hospital, London, UK. bertieharris@yahoo.com

Abstract

INTRODUCTION:

The prevalence of eosinophilic oesophagitis is increasing. A Pubmed search for 'eosinophilic oesophagitis' and 'eosinophilic esophagitis' yielded 345 publications since 1976. Only seven were in otolaryngology journals.1-7 Patients typically present with dysphagia, vomiting, dyspepsia or food impaction and are therefore usually referred to a paediatric gastroenterologist; otolaryngologists are not usually involved in management. A missed diagnosis may result in oesophageal stricture.

METHODS:

Two patients, aged two and four years, were referred to the paediatric otolaryngology department with intermittent upper oesophageal food impaction. A paediatric gastroenterologist was involved in the investigation. Histological examination of oesophageal biopsies demonstrated changes consistent with eosinophilic oesophagitis.

RESULTS:

Both patients were expediently diagnosed, investigated and managed.

CONCLUSION:

A diagnosis of eosinophilic oesophagitis must be considered in patients presenting with food bolus impaction. Early involvement of a paediatric gastroenterology team in the diagnosis is recommended in children presenting with oesophageal symptoms, in order to avoid delayed diagnosis.

PMID:
19640326
DOI:
10.1017/S0022215109990636
[Indexed for MEDLINE]

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