Abstract

Background: Eosinophilic esophagitis (EoE) is thought to be more common in males and Caucasians, yet little data exists regarding the presentation of EoE among children. Methods: A retrospective study of children undergoing esophagogastroduodenoscopy (EGD) was done to determine gender and racial differences in the prevalence and presenting symptoms of EoE. Data collected included gender, race, indication for EGD, and presence of EoE. Results: No gender or racial differences were found for indication for EGD. EoE was identified in 4.1% of children, more commonly in males than females (6% vs. 2.5%, p

Highlights

  • Eosinophilic esophagitis (EoE) is an inflammatory disorder of the esophagus with an increasing incidence both in children and adults [1,2,3,4,5]

  • African American and Caucasian children were included when comparing the rates of EoE; numbers in other races were too small for statistical analysis

  • Symptoms of EoE include failure to thrive/feeding disorder, vomiting, gastroesophageal reflux, abdominal pain, dyspepsia, dysphagia, and food bolus impaction [3,5,7,8,9, 11,13,14]. Most of this data derives from studies where the diagnosis of EoE was rendered and the symptom leading to investigation was determined

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Summary

Introduction

Eosinophilic esophagitis (EoE) is an inflammatory disorder of the esophagus with an increasing incidence both in children and adults [1,2,3,4,5]. We conducted a retrospective review of our database of children having esophgaogastroduodenoscopy (EGD) to determine if there were gender and racial differences in the indication for EGD, prevalence of EoE, and symptoms of patients with EoE. Eosinophilic esophagitis (EoE) is thought to be more common in males and Caucasians, yet little data exists regarding the presentation of EoE among children. Methods: A retrospective study of children undergoing esophagogastroduodenoscopy (EGD) was done to determine gender and racial differences in the prevalence and presenting symptoms of EoE. Symptoms showing a racial/gender difference included dysphagia, vomiting, and foreign body impaction. Gender/racial differences exist for EoE in children presenting with dysphagia, vomiting, and foreign body impaction. This data may help guide the clinician on when to refer for EGD

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