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Esophagus

, Volume 16, Issue 2, pp 162–167 | Cite as

One-year outcomes in children with eosinophilic esophagitis

  • Matea Kovačić
  • Josipa Unić
  • Zrinjka Mišak
  • Oleg Jadrešin
  • Vlatka Konjik
  • Sanja Kolaček
  • Iva HojsakEmail author
Original Article

Abstract

Background and aims

Despite rising incidence of eosinophilic esophagitis (EoE), data on the follow-up and treatment outcomes in pediatric patients are scarce. Therefore, the aim of this study was to present data on the treatment outcomes in children diagnosed with EoE who were treated in a tertiary medical center.

Patients and methods

A retrospective study involving patients younger than 18 years who were diagnosed with EoE in our center between January 2011 and June 2017.

Results

Thirty-two patients met inclusion criteria and were followed up for a mean of 3 years (range 0.5–6.8). Six months after the diagnosis, 28 (87.5%) children were still followed up; 21 (75%) were in clinical remission, including 10 (36%) who were in histological remission. After 12 months, 27 patients were still followed up; 21 (78%) achieved clinical remission, including 10 (37%) with histological remission. During follow-up, three patients developed gastroesophageal reflux disease (GERD). There was no difference in body mass index (BMI) Z score between baseline and 12 months follow-up (median − 0.3 vs − 0.3 SD, p = 0.862).

Conclusions

Absence of symptoms does not indicate mucosal healing; therefore, patients should be followed up endoscopically. Additionally, despite restricted diet, nutritional status remains unaffected. Finally, patients with EoE can develop significant GERD even years after the EoE diagnosis.

Keywords

Children Dysphagia Eosinophils Esophagitis Reflux 

Notes

Funding

No funding was allocated for this study.

Compliance with ethical standards

Ethical Statement

This work conforms to the guidelines set forth in the Helsinki Declaration of 1975 and revised in 2000 concerning Human and Animal Rights, and the policy concerning Informed Consent was followed.

Conflict of interests

No conflict of interest.

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Copyright information

© The Japan Esophageal Society and Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Zagreb School of MedicineZagrebCroatia
  2. 2.Referral Center for Pediatric Gastroenterology and NutritionChildren’s Hospital ZagrebZagrebCroatia
  3. 3.University J.J. Strossmayer School of Medicine OsijekOsijekCroatia
  4. 4.Department of PediatricsUniversity Hospital OsijekOsijekCroatia

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