Materiały źródłowe

• #1 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Eosinophilic esophagitis is a chronic inflammatory disease of both children and adults, for which incidence and prevalence is rising worldwide; the condition is most common among young males with a history of atopy. […] Adults with eosinophilic esophagitis commonly present with recurrent dysphagia and food bolus impaction, which may be masked by compensating behaviours, whereas children more often present with feeding problems, abdominal pain and vomiting. […] First-line treatment may include pharmacologic agents or elimination diets, in conjunction with esophageal dilation if necessary to address and prevent food obstructions. […] Current guidelines recommend either pharmacologic or dietary treatment. […] Dilation may be required to manage esophageal narrowing from strictures and, in some cases, is done prophylactically to prevent esophageal obstruction.

• #2 Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists – PubMed

  https://pubmed.ncbi.nlm.nih.gov/38569813/

  Eosinophilic esophagitis (EoE) is a chronic and progressive immune-mediated esophageal disorder. […] The mainstay of management includes the 3 d’s (diet, drugs, dilation): dietary modifications to eliminate trigger food groups; medications including proton pump inhibitors, swallowed topical glucocorticoids, and dupilumab; and esophageal dilation to manage strictures. […] The chronic nature and high recurrence rates of EoE warrant maintenance therapy in patients with EoE after initial remission is achieved.

• #3 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Eosinophilic esophagitis is a chronic inflammatory disease of both children and adults, for which incidence and prevalence is rising worldwide; the condition is most common among young males with a history of atopy. […] Adults with eosinophilic esophagitis commonly present with recurrent dysphagia and food bolus impaction, which may be masked by compensating behaviours, whereas children more often present with feeding problems, abdominal pain and vomiting. […] First-line treatment may include pharmacologic agents or elimination diets, in conjunction with esophageal dilation if necessary to address and prevent food obstructions. […] Current guidelines recommend either pharmacologic or dietary treatment. […] Dilation may be required to manage esophageal narrowing from strictures and, in some cases, is done prophylactically to prevent esophageal obstruction.

• #4 Eosinophilic esophagitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/diagnosis-treatment/drc-20372203

  Our caring team of Mayo Clinic experts can help you with your eosinophilic esophagitis-related health concerns […] Eosinophilic esophagitis is considered a chronic relapsing disease, meaning that most people will require ongoing treatment to control their symptoms. Treatment will involve one or more of the following: […] Depending on your response to tests for food allergies, your health care provider may recommend that you stop eating certain foods. Cutting out some foods, such as dairy or wheat products, may help to relieve symptoms and reduce inflammation. Sometimes, it may be recommended to limit your diet even more. […] Your provider will likely first prescribe an acid blocker such as a PPI. This treatment is the easiest to use, but most people’s symptoms don’t improve. […] If you do not respond to the PPI, your provider will then likely prescribe a steroid, such as fluticasone or budesonide. This steroid is in a liquid form that is swallowed to treat eosinophilic esophagitis. This type of steroid is not absorbed into the bloodstream, so you are unlikely to have the typical side effects often associated with steroids. […] If you experience severe narrowing, known as a stricture, of your esophagus, your provider may recommend dilation. Dilation, also called stretching, can help make swallowing easier. Dilation may be used if steroids are not helpful. Or dilation may be a choice to avoid ongoing use of medication.

• #5 Eosinophilic oesophagitis – A guide for primary care

  https://www.racgp.org.au/afp/2015/october/eosinophilic-oesophagitis-a-guide-for-primary-care

  EoE is an increasingly prevalent allergic disorder of the oesophagus. […] Treatment involves avoiding trigger foods and corticosteroid therapy, which may be necessary intermittently or long term, given the relapsing nature of the condition. […] EoE requires long-term multimodal care. The general practitioner will often be required to coordinate a management plan with specialists and allied health practitioners. Structured evaluation and regular reassessment in primary care are fundamental for the successful management of EoE. […] Dietary modification is an effective first-line treatment for EoE in children and adults. […] Medical management is necessary in patients who do not respond to dietary measures alone. Topical glucocorticoids, namely fluticasone and budesonide, are currently regarded as the initial therapy of choice.

• #6 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #7 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Esophagitis is an inflammatory condition of the esophagus that can be caused by various factors, including gastroesophageal reflux disease (GERD), infections, and irritants. This nursing care plan is dedicated to providing comprehensive and patient-centered care for individuals diagnosed with esophagitis, with a focus on assessment, symptom management, and education to optimize their physical and emotional well-being. […] Patients with esophagitis require skilled nursing care to alleviate discomfort, manage their symptoms, and minimize complications. This care plan aims to support patients throughout their journey with esophagitis, from assessment to treatment and education. […] The nursing diagnoses formulated in the care plan prioritize addressing key issues, such as acute pain, impaired swallowing, and the risk of aspiration. These diagnoses guide the selection of appropriate interventions tailored to the patients unique needs and circumstances.

• #8 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #9 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Esophagitis is an inflammatory condition of the esophagus that can be caused by various factors, including gastroesophageal reflux disease (GERD), infections, and irritants. This nursing care plan is dedicated to providing comprehensive and patient-centered care for individuals diagnosed with esophagitis, with a focus on assessment, symptom management, and education to optimize their physical and emotional well-being. […] Patients with esophagitis require skilled nursing care to alleviate discomfort, manage their symptoms, and minimize complications. This care plan aims to support patients throughout their journey with esophagitis, from assessment to treatment and education. […] The nursing diagnoses formulated in the care plan prioritize addressing key issues, such as acute pain, impaired swallowing, and the risk of aspiration. These diagnoses guide the selection of appropriate interventions tailored to the patients unique needs and circumstances.

• #10 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #11

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse symptoms of reflux. You have any pain or trouble swallowing. You are losing weight. You do not get better as expected.

• #12 Eosinophilic Esophagitis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.eosinophilic-esophagitis-care-instructions.abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Talk to your doctor about managing allergies. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

• #13 Eosinophilic Esophagitis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.eosinophilic-esophagitis-care-instructions.abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Talk to your doctor about managing allergies. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

• #14 Eosinophilic Esophagitis (EoE) in Children | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/eosinophilic-esophagitis/

  Eosinophilic esophagitis (EoE) is a chronic allergic disease of the esophagus the tube leading from the mouth to the stomach. It is most common in children and young adults compared to infants. […] The current standard-of-care treatment options for EoE in children are: Proton pump inhibitors (PPI) such as omeprazole or lansoprazole, Removal of foods from the diet commonly known to cause inflammation with the guidance of a registered dietitian, Topical corticosteroids (typically twice daily) such as fluticasone or budesonide to coat the esophagus and turn off inflammation, Dupixent injections weekly, which blocks the Interleukin 4 receptor, critical to driving the inflammation, Esophageal dilation (stretches esophageal narrowing associated with scarring) guided by EndoFLIP (identifies and measures esophageal narrowing).

• #15 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #16 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Early alignment of treatment options with patient preferences and expectations decreases patient frustration and increases adherence to therapy. […] The current evidence-based recommendation is to continue treatment once remission is achieved, as long as it remains acceptable to the patient. […] Patients with recurrent food impactions and a narrow-caliber esophagus ( 17 mm) on endoscopy should be offered dilation to reduce the risk of food bolus obstruction. […] Shared decision-making is essential to the long-term success of eosinophilic esophagitis care.

• #17 Eosinophilic Esophagitis (EoE) Treatment | Children’s Hospital Colorado

  https://www.childrenscolorado.org/doctors-and-departments/departments/digestive-health/programs/eosinophilic-gastrointestinal-diseases/eoe-treatment/

  EoE is a lifelong condition, which means it requires lifelong treatment. […] Our multidisciplinary team includes psychologists, feeding therapists and registered dietitians. […] With successful EoE treatment, both your child and your familys quality of life should improve. […] Our registered dietitians will work with your family to design an EoE diet and plan that maximizes nutrition for your child while working to accommodate the other needs of your family. […] We recognize EoE is stressful for your child and your family. […] Registered dietitians are nutritional experts who ensure a child is receiving the nutrients they need for healthy growth and development. […] Involving a registered dietitian is especially important if your child is on an elimination diet. […] Elimination diets are still an effective treatment method for EoE, even without medication.

• #18 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Eosinophilic esophagitis (EoE) is an allergic condition that is becoming increasingly more common in children and adults. […] Given the child’s complex relationship with food, school nurses need to be aware of this condition and understand what steps should be taken to help manage this condition and keep the student safe. […] As with students with other chronic health conditions, students with EoE should have an individualized health plan and may benefit from a 504 plan. Students with EoE may have a complex relationship with food that can create some challenges in the school setting. Communication between the student, family, healthcare provider and school is vital. Below are some action steps the school nurse should consider. […] The school nurse should meet with the student and family to discuss how the child is impacted by EoE.

• #19 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Discuss and develop a plan regarding how to communicate food allergy and food restrictions to teachers and other school staff. […] Develop a plan to communicate changes in students diet, symptom tracking, what to do if an accidental exposure occurs at school, etc. […] Develop an emergency care plan that outlines what to do and whom to contact if a food impaction occurs at school. […] If the student has an NG or G-tube, develop an individualized health plan for management of the NG or G-tube while at school.

• #20

  https://childrenswi.org/publications/teaching-sheet/clinical-nutrition/1294-eosinophilic-esophagitis

  Nurse. The nurse coordinates care and answers questions between clinic visits. […] Treatment may include taking foods out of the diet or taking medicines. […] A variety of visits may be needed: […] Gastroenterologist and dietitian visits. They will check: -Success of treatment. -Management of other medical concerns. -Growth and nutrition. […] Diet changes are one kind of treatment. Foods are taken out of the diet. This does not cure the disease, but it keeps it from coming back. […] The formula has all the nutrition needed to help your child grow and develop. Often, a large amount must be given. A feeding tube may be needed to help your child get all their nutrition. […] Medicines are another way to treat EoE. They do not cure the disease. Stopping the medicine may cause the symptoms to come back. […] An endoscopy is the only way to check if the treatment is working. […] Call your childs doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

• #21 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Patient education is a central component of the care plan, empowering individuals to take an active role in managing their condition and preventing recurrences. […] The nursing interventions provided encompass a range of strategies, from medication management, lifestyle modifications, and symptom relief to patient education on dietary choices and GERD prevention. […] These nursing interventions for esophagitis aim to alleviate pain and discomfort, enhance swallowing function, and reduce the risk of complications. Individualized care plans should be developed based on the patients specific condition and preferences. Collaboration with the healthcare team, ongoing assessment, and patient education are essential for optimizing patient outcomes and improving their quality of life.

• #22

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse symptoms of reflux. You have any pain or trouble swallowing. You are losing weight. You do not get better as expected.

• #23 Eosinophilic Esophagitis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.eosinophilic-esophagitis-care-instructions.abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Talk to your doctor about managing allergies. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

• #24

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse symptoms of reflux. You have any pain or trouble swallowing. You are losing weight. You do not get better as expected.

• #25 Life with Eosinophilic Esophagitis (EoE) | AAFA.org

  https://aafa.org/asthma-allergy-research/our-research/life-with-eosinophilic-esophagitis-eoe/

  Many patients experience delays in diagnosis for EoE, leading to delayed symptom relief, clinical care, and treatment. […] The majority (87%) of non-GI HCPs reported that non-responsiveness to PPI would prompt referral to a GI specialist for diagnosis of EoE (contradicting updated consensus recommendation to remove PPI as a diagnostic tool). […] Multidisciplinary care teams are common for EoE management. […] HCPs reported high levels of collaboration between GI doctors, allergists/immunologists, PCPs, and dietitians/nutritionists. […] Adherence to treatment plans particularly dietary therapies poses the greatest challenge in managing EoE. […] HCPs reported patient adherence to treatment plans as the biggest challenge with EoE management; with reported adherence to dietary therapy significantly lower than pharmacological treatment.

• #26 Life with Eosinophilic Esophagitis (EoE) | AAFA.org

  https://aafa.org/asthma-allergy-research/our-research/life-with-eosinophilic-esophagitis-eoe/

  EoE has a significant impact on social and emotional well-being. […] Patients/caregivers and HCPs acknowledge a greater need for support and resources for EoE. […] HCPs expressed a need for better educational materials to provide patients with EoE. […] This report provides an overview of the EoE journey from the patient, caregiver, and health care provider (HCP) perspectives using data gleaned from a multi-component needs assessment study.

• #27 Eosinophilic Esophagitis | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/digestion-and-metabolic-health/eosinophilic-esophagitis.html

  Specialist care from board-certified doctors with decades of experience diagnosing and treating rare esophageal diseases like EoE. […] Multispecialty approach with gastroenterologists, allergists, dietitians, and nurses, working together to plan the best diagnostic and treatment options for you. […] Our nutritionists work with you to find dietary changes, including avoiding trigger foods, that may help manage symptoms of EoE without other forms of treatment. […] If dietary changes alone are not enough to manage EoE, certain medications may help reduce or eliminate symptoms. […] Our skilled team of doctors are trained in the latest minimally invasive techniques for stretching the esophagus. […] Because of the nature of EoE, the Esophagus Center doctors closely collaborate with specialists in immunology and nutrition. Working together, we find the best, least invasive treatment solutions for you, so you can lead a symptom-free, healthier life. […] The Esophagus Center offers all treatment services in one convenient location.

• #28 Adult Eosinophilic Esophagitis Program

  https://www.massgeneral.org/medicine/gastroenterology/treatments-and-services/adult-eosinophilic-esophagitis

  Eosinophilic esophagitis is an increasingly recognized disorder of the esophagus that can affect patients of any age, and typically presents with difficulty swallowing, food getting stuck and sometimes chest pain or an abnormal sensation in the chest and upper abdomen. […] At the Adult Eosinophilic Esophagitis Program at Mass General, a core multi-disciplinary care team with members from Gastroenterology, Allergy/Immunology and Nutrition works with patients to provide expert diagnosis, leading-edge medical interventions and personalized, ongoing care to help patients manage their eosinophilic esophagitis. […] The mainstays of treatment for eosinophilic esophagitis include dietary changes and medications that suppress the eosinophils, as well as additional experimental therapies, which sometimes are used for related disorders such as asthma. […] Patient education and support are important components of our mission. We are committed to helping patients understand their disease, assess their treatment options, participate in their treatment decisions and feel in control of their disease.

• #29

  https://childrenswi.org/publications/teaching-sheet/clinical-nutrition/1294-eosinophilic-esophagitis

  Nurse. The nurse coordinates care and answers questions between clinic visits. […] Treatment may include taking foods out of the diet or taking medicines. […] A variety of visits may be needed: […] Gastroenterologist and dietitian visits. They will check: -Success of treatment. -Management of other medical concerns. -Growth and nutrition. […] Diet changes are one kind of treatment. Foods are taken out of the diet. This does not cure the disease, but it keeps it from coming back. […] The formula has all the nutrition needed to help your child grow and develop. Often, a large amount must be given. A feeding tube may be needed to help your child get all their nutrition. […] Medicines are another way to treat EoE. They do not cure the disease. Stopping the medicine may cause the symptoms to come back. […] An endoscopy is the only way to check if the treatment is working. […] Call your childs doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

• #30 Eosinophilic Esophagitis – Center for Advanced Digestive Care | NewYork-Presbyterian/Weill Cornell Medical Center

  https://www.nyp.org/cadc/esophageal-gastric-disorders-upper-gi/eosinophilic-esophagitis

  Eosinophilic esophagitis is an allergic reaction that occurs in the esophagus. […] So it’s very important to seek care at a medical center with a multidisciplinary team of healthcare professionals experienced in the care of patients with this allergic disorder. […] The Center for Advanced Digestive Care (CADC) of NewYork-Presbyterian/Weill Cornell Medical Center offers patients with eosinophilic esophagitis a team of professionals that includes gastroenterologists, allergists, and nutritionists who can help guide patients toward therapies and dietary changes to reduce or prevent their symptoms. […] NewYork-Presbyterian/Weill Cornell gastroenterologists and allergists collaborate to treat patients with eosinophilic esophagitis.

• #31 Nutritional Care of the Patient with Eosinophilic Esophagitis – Practical Gastro

  https://practicalgastro.com/2019/07/30/nutritional-care-of-the-patient-with-eosinophilic-esophagitis/

  Dietary elimination is an effective treatment for initial and long-term management of EoE. Jednakże, z eliminacją grup pokarmowych pojawiają się obawy dotyczące ryzyka żywieniowego i jakości życia. […] Edukacja i zasoby powinny być dostarczane, aby nauczyć technik unikania pokarmów w przepisanej diecie eliminacyjnej, a także strategii wdrażania diety, która jest wolna od alergenów, bogata w składniki odżywcze i wystarczająco różnorodna, aby utrzymać przestrzeganie, status żywieniowy i jakość życia. […] Sukces w leczeniu EoE za pomocą modyfikacji diety wymaga podejścia multidyscyplinarnego, z gastroenterologami, alergologami i dietetykami.

• #32 Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists – PubMed

  https://pubmed.ncbi.nlm.nih.gov/38569813/

  Eosinophilic esophagitis (EoE) is a chronic and progressive immune-mediated esophageal disorder. […] The mainstay of management includes the 3 d’s (diet, drugs, dilation): dietary modifications to eliminate trigger food groups; medications including proton pump inhibitors, swallowed topical glucocorticoids, and dupilumab; and esophageal dilation to manage strictures. […] The chronic nature and high recurrence rates of EoE warrant maintenance therapy in patients with EoE after initial remission is achieved.

• #33 Eosinophilic Esophagitis (EoE) in Children | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/eosinophilic-esophagitis/

  Eosinophilic esophagitis (EoE) is a chronic allergic disease of the esophagus the tube leading from the mouth to the stomach. It is most common in children and young adults compared to infants. […] The current standard-of-care treatment options for EoE in children are: Proton pump inhibitors (PPI) such as omeprazole or lansoprazole, Removal of foods from the diet commonly known to cause inflammation with the guidance of a registered dietitian, Topical corticosteroids (typically twice daily) such as fluticasone or budesonide to coat the esophagus and turn off inflammation, Dupixent injections weekly, which blocks the Interleukin 4 receptor, critical to driving the inflammation, Esophageal dilation (stretches esophageal narrowing associated with scarring) guided by EndoFLIP (identifies and measures esophageal narrowing).

• #34 Eosinophilic esophagitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/diagnosis-treatment/drc-20372203

  Our caring team of Mayo Clinic experts can help you with your eosinophilic esophagitis-related health concerns […] Eosinophilic esophagitis is considered a chronic relapsing disease, meaning that most people will require ongoing treatment to control their symptoms. Treatment will involve one or more of the following: […] Depending on your response to tests for food allergies, your health care provider may recommend that you stop eating certain foods. Cutting out some foods, such as dairy or wheat products, may help to relieve symptoms and reduce inflammation. Sometimes, it may be recommended to limit your diet even more. […] Your provider will likely first prescribe an acid blocker such as a PPI. This treatment is the easiest to use, but most people’s symptoms don’t improve. […] If you do not respond to the PPI, your provider will then likely prescribe a steroid, such as fluticasone or budesonide. This steroid is in a liquid form that is swallowed to treat eosinophilic esophagitis. This type of steroid is not absorbed into the bloodstream, so you are unlikely to have the typical side effects often associated with steroids. […] If you experience severe narrowing, known as a stricture, of your esophagus, your provider may recommend dilation. Dilation, also called stretching, can help make swallowing easier. Dilation may be used if steroids are not helpful. Or dilation may be a choice to avoid ongoing use of medication.

• #35 Eosinophilic Esophagitis (EoE) in Children | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/eosinophilic-esophagitis/

  Eosinophilic esophagitis (EoE) is a chronic allergic disease of the esophagus the tube leading from the mouth to the stomach. It is most common in children and young adults compared to infants. […] The current standard-of-care treatment options for EoE in children are: Proton pump inhibitors (PPI) such as omeprazole or lansoprazole, Removal of foods from the diet commonly known to cause inflammation with the guidance of a registered dietitian, Topical corticosteroids (typically twice daily) such as fluticasone or budesonide to coat the esophagus and turn off inflammation, Dupixent injections weekly, which blocks the Interleukin 4 receptor, critical to driving the inflammation, Esophageal dilation (stretches esophageal narrowing associated with scarring) guided by EndoFLIP (identifies and measures esophageal narrowing).

• #36 Eosinophilic esophagitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/diagnosis-treatment/drc-20372203

  Our caring team of Mayo Clinic experts can help you with your eosinophilic esophagitis-related health concerns […] Eosinophilic esophagitis is considered a chronic relapsing disease, meaning that most people will require ongoing treatment to control their symptoms. Treatment will involve one or more of the following: […] Depending on your response to tests for food allergies, your health care provider may recommend that you stop eating certain foods. Cutting out some foods, such as dairy or wheat products, may help to relieve symptoms and reduce inflammation. Sometimes, it may be recommended to limit your diet even more. […] Your provider will likely first prescribe an acid blocker such as a PPI. This treatment is the easiest to use, but most people’s symptoms don’t improve. […] If you do not respond to the PPI, your provider will then likely prescribe a steroid, such as fluticasone or budesonide. This steroid is in a liquid form that is swallowed to treat eosinophilic esophagitis. This type of steroid is not absorbed into the bloodstream, so you are unlikely to have the typical side effects often associated with steroids. […] If you experience severe narrowing, known as a stricture, of your esophagus, your provider may recommend dilation. Dilation, also called stretching, can help make swallowing easier. Dilation may be used if steroids are not helpful. Or dilation may be a choice to avoid ongoing use of medication.

• #37 Management of Eosinophilic Esophagitis

  https://www.aap.org/en/patient-care/eosinophilic-esophagitis/management-of-eosinophilic-esophagitis/?srsltid=AfmBOoqPfsU9dKbgPf02EzHdYGMcZt5HGQBpFAKPTVyqIjyN8QbcQ2mz

  Long-term maintenance treatment of EoE with these medications, particularly at lower doses than those needed to induce remission, is advisable, given the chronic fibrosing characteristic of EoE. […] When dietary or anti-inflammatory treatment are ineffective, children with EoE may develop esophageal strictures or stenosis. […] In some children, esophageal dilation may be necessary to prevent food impaction and pain.

• #38 Eosinophilic Esophagitis (EoE) Treatment | Children’s Hospital Colorado

  https://www.childrenscolorado.org/doctors-and-departments/departments/digestive-health/programs/eosinophilic-gastrointestinal-diseases/eoe-treatment/

  EoE is a lifelong condition, which means it requires lifelong treatment. […] Our multidisciplinary team includes psychologists, feeding therapists and registered dietitians. […] With successful EoE treatment, both your child and your familys quality of life should improve. […] Our registered dietitians will work with your family to design an EoE diet and plan that maximizes nutrition for your child while working to accommodate the other needs of your family. […] We recognize EoE is stressful for your child and your family. […] Registered dietitians are nutritional experts who ensure a child is receiving the nutrients they need for healthy growth and development. […] Involving a registered dietitian is especially important if your child is on an elimination diet. […] Elimination diets are still an effective treatment method for EoE, even without medication.

• #39 Eosinophilic Esophagitis (EoE) in Children | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/eosinophilic-esophagitis/

  Eosinophilic esophagitis (EoE) is a chronic allergic disease of the esophagus the tube leading from the mouth to the stomach. It is most common in children and young adults compared to infants. […] The current standard-of-care treatment options for EoE in children are: Proton pump inhibitors (PPI) such as omeprazole or lansoprazole, Removal of foods from the diet commonly known to cause inflammation with the guidance of a registered dietitian, Topical corticosteroids (typically twice daily) such as fluticasone or budesonide to coat the esophagus and turn off inflammation, Dupixent injections weekly, which blocks the Interleukin 4 receptor, critical to driving the inflammation, Esophageal dilation (stretches esophageal narrowing associated with scarring) guided by EndoFLIP (identifies and measures esophageal narrowing).

• #40 Eosinophilic esophagitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/diagnosis-treatment/drc-20372203

  Our caring team of Mayo Clinic experts can help you with your eosinophilic esophagitis-related health concerns […] Eosinophilic esophagitis is considered a chronic relapsing disease, meaning that most people will require ongoing treatment to control their symptoms. Treatment will involve one or more of the following: […] Depending on your response to tests for food allergies, your health care provider may recommend that you stop eating certain foods. Cutting out some foods, such as dairy or wheat products, may help to relieve symptoms and reduce inflammation. Sometimes, it may be recommended to limit your diet even more. […] Your provider will likely first prescribe an acid blocker such as a PPI. This treatment is the easiest to use, but most people’s symptoms don’t improve. […] If you do not respond to the PPI, your provider will then likely prescribe a steroid, such as fluticasone or budesonide. This steroid is in a liquid form that is swallowed to treat eosinophilic esophagitis. This type of steroid is not absorbed into the bloodstream, so you are unlikely to have the typical side effects often associated with steroids. […] If you experience severe narrowing, known as a stricture, of your esophagus, your provider may recommend dilation. Dilation, also called stretching, can help make swallowing easier. Dilation may be used if steroids are not helpful. Or dilation may be a choice to avoid ongoing use of medication.

• #41 Eosinophilic oesophagitis – A guide for primary care

  https://www.racgp.org.au/afp/2015/october/eosinophilic-oesophagitis-a-guide-for-primary-care

  EoE is an increasingly prevalent allergic disorder of the oesophagus. […] Treatment involves avoiding trigger foods and corticosteroid therapy, which may be necessary intermittently or long term, given the relapsing nature of the condition. […] EoE requires long-term multimodal care. The general practitioner will often be required to coordinate a management plan with specialists and allied health practitioners. Structured evaluation and regular reassessment in primary care are fundamental for the successful management of EoE. […] Dietary modification is an effective first-line treatment for EoE in children and adults. […] Medical management is necessary in patients who do not respond to dietary measures alone. Topical glucocorticoids, namely fluticasone and budesonide, are currently regarded as the initial therapy of choice.

• #42 Management of Eosinophilic Esophagitis

  https://www.aap.org/en/patient-care/eosinophilic-esophagitis/management-of-eosinophilic-esophagitis/?srsltid=AfmBOoqPfsU9dKbgPf02EzHdYGMcZt5HGQBpFAKPTVyqIjyN8QbcQ2mz

  EoE is a chronic disease that requires long-term treatment. The goals of treatment are to: […] Treating children with EoE involves diet therapy and/or medical therapy. […] The choice of treatment depends on the clinical picture, as well as family circumstance and preferences. […] Recent guidelines promote shared decision making and individualized approaches towards management. […] Dietary therapy has 3 main approaches: […] The elemental diet is a highly restrictive diet that consists of a liquid amino acid-based formula, which does not induce an allergic response. […] Although the elemental diet is a useful method to achieve remission, its use in chronic therapy is limited because of the difficulty in maintaining the diet. […] The SFED relies on eliminating the most frequent allergic triggers, of which milk is the most common trigger (61%).

• #43 Management of Eosinophilic Esophagitis

  https://www.aap.org/en/patient-care/eosinophilic-esophagitis/management-of-eosinophilic-esophagitis/?srsltid=AfmBOoqPfsU9dKbgPf02EzHdYGMcZt5HGQBpFAKPTVyqIjyN8QbcQ2mz

  Implementing the diet requires motivation and involves understanding several factors and procedures: […] The diet is not easy to maintain, and care must be taken to control the child’s food exposures in all settings, including: […] Dietary restrictions are well known to reduce quality of life; however, a multidisciplinary approach available in an EoE clinic can anticipate and address these aspects. […] In consensus guidelines, the failure to respond to PPIs has been removed as a criterion for ruling out a diagnosis of EoE because some patients with EoE improve with PPI therapy. […] Swallowed topical glucocorticoids taken in a small amount of liquid or a puff from an inhaler are the mainstay treatment option to medically treat inflammation; remission rates are high with this method.

• #44 Eosinophilic Esophagitis (EoE) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/eosinophilic-esophagitis

  Eosinophilic esophagitis affects children of all ethnicities and family income levels. […] Almost always the underlying cause of eosinophilic esophagitis is a food allergy. A gastroenterologist or allergist may implement dietary restrictions to pinpoint the food that triggers the allergic response. […] Because allergy tests are often unable to determine the causative foods, complete elimination of all foods may be required. In these cases, patients must be placed on a strict elemental formula for one to three months in order to heal the esophagus. […] With diet modifications and possibly some lifestyle adaptations that center around food your child will thrive and have the ability to live a very full life, even if his or her EoE never completely goes away. […] Our team of pediatric specialists come from gastroenterology, allergy, nutrition and pathology (doctors who examine tissue samples to help find a diagnosis). These specialists work with skilled nurses, psychologists and dietitians to support your family.

• #45 Nutritional Care of the Patient with Eosinophilic Esophagitis – Practical Gastro

  https://practicalgastro.com/2019/07/30/nutritional-care-of-the-patient-with-eosinophilic-esophagitis/

  Dietary elimination is an effective treatment for initial and long-term management of EoE. Jednakże, z eliminacją grup pokarmowych pojawiają się obawy dotyczące ryzyka żywieniowego i jakości życia. […] Edukacja i zasoby powinny być dostarczane, aby nauczyć technik unikania pokarmów w przepisanej diecie eliminacyjnej, a także strategii wdrażania diety, która jest wolna od alergenów, bogata w składniki odżywcze i wystarczająco różnorodna, aby utrzymać przestrzeganie, status żywieniowy i jakość życia. […] Sukces w leczeniu EoE za pomocą modyfikacji diety wymaga podejścia multidyscyplinarnego, z gastroenterologami, alergologami i dietetykami.

• #46 Management of Eosinophilic Esophagitis

  https://www.aap.org/en/patient-care/eosinophilic-esophagitis/management-of-eosinophilic-esophagitis/?srsltid=AfmBOoqPfsU9dKbgPf02EzHdYGMcZt5HGQBpFAKPTVyqIjyN8QbcQ2mz

  Implementing the diet requires motivation and involves understanding several factors and procedures: […] The diet is not easy to maintain, and care must be taken to control the child’s food exposures in all settings, including: […] Dietary restrictions are well known to reduce quality of life; however, a multidisciplinary approach available in an EoE clinic can anticipate and address these aspects. […] In consensus guidelines, the failure to respond to PPIs has been removed as a criterion for ruling out a diagnosis of EoE because some patients with EoE improve with PPI therapy. […] Swallowed topical glucocorticoids taken in a small amount of liquid or a puff from an inhaler are the mainstay treatment option to medically treat inflammation; remission rates are high with this method.

• #47 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Discuss and develop a plan regarding how to communicate food allergy and food restrictions to teachers and other school staff. […] Develop a plan to communicate changes in students diet, symptom tracking, what to do if an accidental exposure occurs at school, etc. […] Develop an emergency care plan that outlines what to do and whom to contact if a food impaction occurs at school. […] If the student has an NG or G-tube, develop an individualized health plan for management of the NG or G-tube while at school.

• #48 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Discuss and develop a plan regarding how to communicate food allergy and food restrictions to teachers and other school staff. […] Develop a plan to communicate changes in students diet, symptom tracking, what to do if an accidental exposure occurs at school, etc. […] Develop an emergency care plan that outlines what to do and whom to contact if a food impaction occurs at school. […] If the student has an NG or G-tube, develop an individualized health plan for management of the NG or G-tube while at school.

• #49

  https://childrenswi.org/publications/teaching-sheet/clinical-nutrition/1294-eosinophilic-esophagitis

  Nurse. The nurse coordinates care and answers questions between clinic visits. […] Treatment may include taking foods out of the diet or taking medicines. […] A variety of visits may be needed: […] Gastroenterologist and dietitian visits. They will check: -Success of treatment. -Management of other medical concerns. -Growth and nutrition. […] Diet changes are one kind of treatment. Foods are taken out of the diet. This does not cure the disease, but it keeps it from coming back. […] The formula has all the nutrition needed to help your child grow and develop. Often, a large amount must be given. A feeding tube may be needed to help your child get all their nutrition. […] Medicines are another way to treat EoE. They do not cure the disease. Stopping the medicine may cause the symptoms to come back. […] An endoscopy is the only way to check if the treatment is working. […] Call your childs doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

• #50 Eosinophilic esophagitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/diagnosis-treatment/drc-20372203

  Our caring team of Mayo Clinic experts can help you with your eosinophilic esophagitis-related health concerns […] Eosinophilic esophagitis is considered a chronic relapsing disease, meaning that most people will require ongoing treatment to control their symptoms. Treatment will involve one or more of the following: […] Depending on your response to tests for food allergies, your health care provider may recommend that you stop eating certain foods. Cutting out some foods, such as dairy or wheat products, may help to relieve symptoms and reduce inflammation. Sometimes, it may be recommended to limit your diet even more. […] Your provider will likely first prescribe an acid blocker such as a PPI. This treatment is the easiest to use, but most people’s symptoms don’t improve. […] If you do not respond to the PPI, your provider will then likely prescribe a steroid, such as fluticasone or budesonide. This steroid is in a liquid form that is swallowed to treat eosinophilic esophagitis. This type of steroid is not absorbed into the bloodstream, so you are unlikely to have the typical side effects often associated with steroids. […] If you experience severe narrowing, known as a stricture, of your esophagus, your provider may recommend dilation. Dilation, also called stretching, can help make swallowing easier. Dilation may be used if steroids are not helpful. Or dilation may be a choice to avoid ongoing use of medication.

• #51 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Eosinophilic esophagitis is a chronic inflammatory disease of both children and adults, for which incidence and prevalence is rising worldwide; the condition is most common among young males with a history of atopy. […] Adults with eosinophilic esophagitis commonly present with recurrent dysphagia and food bolus impaction, which may be masked by compensating behaviours, whereas children more often present with feeding problems, abdominal pain and vomiting. […] First-line treatment may include pharmacologic agents or elimination diets, in conjunction with esophageal dilation if necessary to address and prevent food obstructions. […] Current guidelines recommend either pharmacologic or dietary treatment. […] Dilation may be required to manage esophageal narrowing from strictures and, in some cases, is done prophylactically to prevent esophageal obstruction.

• #52 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Early alignment of treatment options with patient preferences and expectations decreases patient frustration and increases adherence to therapy. […] The current evidence-based recommendation is to continue treatment once remission is achieved, as long as it remains acceptable to the patient. […] Patients with recurrent food impactions and a narrow-caliber esophagus ( 17 mm) on endoscopy should be offered dilation to reduce the risk of food bolus obstruction. […] Shared decision-making is essential to the long-term success of eosinophilic esophagitis care.

• #53 Eosinophilic Esophagitis | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/digestion-and-metabolic-health/eosinophilic-esophagitis.html

  Specialist care from board-certified doctors with decades of experience diagnosing and treating rare esophageal diseases like EoE. […] Multispecialty approach with gastroenterologists, allergists, dietitians, and nurses, working together to plan the best diagnostic and treatment options for you. […] Our nutritionists work with you to find dietary changes, including avoiding trigger foods, that may help manage symptoms of EoE without other forms of treatment. […] If dietary changes alone are not enough to manage EoE, certain medications may help reduce or eliminate symptoms. […] Our skilled team of doctors are trained in the latest minimally invasive techniques for stretching the esophagus. […] Because of the nature of EoE, the Esophagus Center doctors closely collaborate with specialists in immunology and nutrition. Working together, we find the best, least invasive treatment solutions for you, so you can lead a symptom-free, healthier life. […] The Esophagus Center offers all treatment services in one convenient location.

• #54 Eosinophilic oesophagitis – A guide for primary care

  https://www.racgp.org.au/afp/2015/october/eosinophilic-oesophagitis-a-guide-for-primary-care

  Most patients are treated with an 8-week course of topical steroids and re-assessed. The vast majority will be symptom-free following this treatment. […] The correlation between symptoms and the histological severity of EoE is weak, so periodic surveillance endoscopic examination is probably warranted. […] Avoiding allergens can often reverse the disease process of EoE. Successful implementation of a suitable dietary plan can be made easier with assistance from a dietitian. […] There is a role for acid suppression in patients with EoE, but it is not a curative measure. […] Oesophageal dilation is very effective in widening the oesophageal diameter and providing rapid relief of dysphagia.

• #55 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Esophagitis is an inflammatory condition of the esophagus that can be caused by various factors, including gastroesophageal reflux disease (GERD), infections, and irritants. This nursing care plan is dedicated to providing comprehensive and patient-centered care for individuals diagnosed with esophagitis, with a focus on assessment, symptom management, and education to optimize their physical and emotional well-being. […] Patients with esophagitis require skilled nursing care to alleviate discomfort, manage their symptoms, and minimize complications. This care plan aims to support patients throughout their journey with esophagitis, from assessment to treatment and education. […] The nursing diagnoses formulated in the care plan prioritize addressing key issues, such as acute pain, impaired swallowing, and the risk of aspiration. These diagnoses guide the selection of appropriate interventions tailored to the patients unique needs and circumstances.

• #56 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Patient education is a central component of the care plan, empowering individuals to take an active role in managing their condition and preventing recurrences. […] The nursing interventions provided encompass a range of strategies, from medication management, lifestyle modifications, and symptom relief to patient education on dietary choices and GERD prevention. […] These nursing interventions for esophagitis aim to alleviate pain and discomfort, enhance swallowing function, and reduce the risk of complications. Individualized care plans should be developed based on the patients specific condition and preferences. Collaboration with the healthcare team, ongoing assessment, and patient education are essential for optimizing patient outcomes and improving their quality of life.

• #57 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #58 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Patient education is a central component of the care plan, empowering individuals to take an active role in managing their condition and preventing recurrences. […] The nursing interventions provided encompass a range of strategies, from medication management, lifestyle modifications, and symptom relief to patient education on dietary choices and GERD prevention. […] These nursing interventions for esophagitis aim to alleviate pain and discomfort, enhance swallowing function, and reduce the risk of complications. Individualized care plans should be developed based on the patients specific condition and preferences. Collaboration with the healthcare team, ongoing assessment, and patient education are essential for optimizing patient outcomes and improving their quality of life.

• #59 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #60 Nutritional Care of the Patient with Eosinophilic Esophagitis – Practical Gastro

  https://practicalgastro.com/2019/07/30/nutritional-care-of-the-patient-with-eosinophilic-esophagitis/

  Dietary elimination is an effective treatment for initial and long-term management of EoE. Jednakże, z eliminacją grup pokarmowych pojawiają się obawy dotyczące ryzyka żywieniowego i jakości życia. […] Edukacja i zasoby powinny być dostarczane, aby nauczyć technik unikania pokarmów w przepisanej diecie eliminacyjnej, a także strategii wdrażania diety, która jest wolna od alergenów, bogata w składniki odżywcze i wystarczająco różnorodna, aby utrzymać przestrzeganie, status żywieniowy i jakość życia. […] Sukces w leczeniu EoE za pomocą modyfikacji diety wymaga podejścia multidyscyplinarnego, z gastroenterologami, alergologami i dietetykami.

• #61 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Discuss and develop a plan regarding how to communicate food allergy and food restrictions to teachers and other school staff. […] Develop a plan to communicate changes in students diet, symptom tracking, what to do if an accidental exposure occurs at school, etc. […] Develop an emergency care plan that outlines what to do and whom to contact if a food impaction occurs at school. […] If the student has an NG or G-tube, develop an individualized health plan for management of the NG or G-tube while at school.

• #62 Esophagitis Nursing Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/esophagitis-nursing-management/

  Nursing Management: Promote adequate nutritional intake. Instruct the client to: Eat small, frequent meals of mostly bland foods. Chew food thoroughly before swallowing. Drink fluids to aid swallowing and food passage down the esophagus. Refrain from laying down after eating. Avoid eating within 3 hours of bedtime. […] Assess all vomitus for content, note undigested food and blood (i.e. coffee-ground or bright red appearance). Maintain integrity of the oral mucosa. Minimize pain. Instruct the client to avoid irritants. Advise the client to elevate head of his bed with blocks to help minimize reflux.

• #63

  https://www.healio.com/news/allergy-asthma/20230918/lack-of-timely-followup-care-common-among-patients-with-eosinophilic-esophagitis

  Adults with eosinophilic esophagitis often failed to return to their specialist for timely follow-up care, according to a letter published in Annals of Allergy, Asthma Immunology. […] Based on these findings, the authors characterized adherence to recommended medical treatment plans as poor among patients with EoE, but because the study was retrospective, they did not have any explanation for why patients failed to follow up with care. […] Doctors who treat EoE as well as other chronic medical conditions need to improve communication through shared decision-making, he said, adding that shared decision-making has been shown to improve adherence. […] Clinicians who manage patients with EoE can help improve adherence and remove barriers to treatment by having open discussion with our patients and shared decision-making. […] Educating patients on their disease state and complications of untreated EoE in a way they can understand is prudent. […] From a long-term follow-up perspective, offering the option of telehealth visits can improve the adherence with follow-up appointments.

• #64 Life with Eosinophilic Esophagitis (EoE) | AAFA.org

  https://aafa.org/asthma-allergy-research/our-research/life-with-eosinophilic-esophagitis-eoe/

  EoE has a significant impact on social and emotional well-being. […] Patients/caregivers and HCPs acknowledge a greater need for support and resources for EoE. […] HCPs expressed a need for better educational materials to provide patients with EoE. […] This report provides an overview of the EoE journey from the patient, caregiver, and health care provider (HCP) perspectives using data gleaned from a multi-component needs assessment study.

• #65 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Eosinophilic esophagitis (EoE) is an allergic condition that is becoming increasingly more common in children and adults. […] Given the child’s complex relationship with food, school nurses need to be aware of this condition and understand what steps should be taken to help manage this condition and keep the student safe. […] As with students with other chronic health conditions, students with EoE should have an individualized health plan and may benefit from a 504 plan. Students with EoE may have a complex relationship with food that can create some challenges in the school setting. Communication between the student, family, healthcare provider and school is vital. Below are some action steps the school nurse should consider. […] The school nurse should meet with the student and family to discuss how the child is impacted by EoE.

• #66 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Eosinophilic esophagitis (EoE) is an allergic condition that is becoming increasingly more common in children and adults. […] Given the child’s complex relationship with food, school nurses need to be aware of this condition and understand what steps should be taken to help manage this condition and keep the student safe. […] As with students with other chronic health conditions, students with EoE should have an individualized health plan and may benefit from a 504 plan. Students with EoE may have a complex relationship with food that can create some challenges in the school setting. Communication between the student, family, healthcare provider and school is vital. Below are some action steps the school nurse should consider. […] The school nurse should meet with the student and family to discuss how the child is impacted by EoE.

• #67 Eosinophilic Esophagitis (EoE) and Considerations for the School Nurse

  https://schoolhealthassociates.com/eosinophilic-esophagitis-eoe-and-considerations-for-the-school-nurse/

  Discuss and develop a plan regarding how to communicate food allergy and food restrictions to teachers and other school staff. […] Develop a plan to communicate changes in students diet, symptom tracking, what to do if an accidental exposure occurs at school, etc. […] Develop an emergency care plan that outlines what to do and whom to contact if a food impaction occurs at school. […] If the student has an NG or G-tube, develop an individualized health plan for management of the NG or G-tube while at school.

• #68 Life with Eosinophilic Esophagitis (EoE) | AAFA.org

  https://aafa.org/asthma-allergy-research/our-research/life-with-eosinophilic-esophagitis-eoe/

  Many patients experience delays in diagnosis for EoE, leading to delayed symptom relief, clinical care, and treatment. […] The majority (87%) of non-GI HCPs reported that non-responsiveness to PPI would prompt referral to a GI specialist for diagnosis of EoE (contradicting updated consensus recommendation to remove PPI as a diagnostic tool). […] Multidisciplinary care teams are common for EoE management. […] HCPs reported high levels of collaboration between GI doctors, allergists/immunologists, PCPs, and dietitians/nutritionists. […] Adherence to treatment plans particularly dietary therapies poses the greatest challenge in managing EoE. […] HCPs reported patient adherence to treatment plans as the biggest challenge with EoE management; with reported adherence to dietary therapy significantly lower than pharmacological treatment.

• #69 EoE – Apfed

  https://apfed.org/about-ead/egids/eoe/

  Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus (the tube connecting the mouth to the stomach). […] EoE affects the entire age spectrum, from infants to adults. […] Yes, eosinophilic esophagitis is a chronic disease that requires ongoing monitoring and management. Regular monitoring of EoE is important because if it isn’t treated properly, ongoing inflammation can cause scar tissue to form in the esophagus. […] With proper treatment, individuals with EoE can successfully manage the condition.

• #70

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse symptoms of reflux. You have any pain or trouble swallowing. You are losing weight. You do not get better as expected.

• #71 Eosinophilic Esophagitis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.eosinophilic-esophagitis-care-instructions.abs2990

  Esophagitis (say „ee-sof-uh-JY-tus”) is irritation or inflammation in the esophagus. This is the tube that carries food from your throat to your stomach. In eosinophilic (say „ee-uh-sin-uh-FILL-ick”) esophagitis, white blood cells called eosinophils are found where the esophagus is irritated or inflamed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Work with a dietitian if you need a special diet. They can help make sure that you get the nutrients you need to be healthy. […] Talk to your doctor about managing allergies. […] Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

• #72

  https://childrenswi.org/publications/teaching-sheet/clinical-nutrition/1294-eosinophilic-esophagitis

  Nurse. The nurse coordinates care and answers questions between clinic visits. […] Treatment may include taking foods out of the diet or taking medicines. […] A variety of visits may be needed: […] Gastroenterologist and dietitian visits. They will check: -Success of treatment. -Management of other medical concerns. -Growth and nutrition. […] Diet changes are one kind of treatment. Foods are taken out of the diet. This does not cure the disease, but it keeps it from coming back. […] The formula has all the nutrition needed to help your child grow and develop. Often, a large amount must be given. A feeding tube may be needed to help your child get all their nutrition. […] Medicines are another way to treat EoE. They do not cure the disease. Stopping the medicine may cause the symptoms to come back. […] An endoscopy is the only way to check if the treatment is working. […] Call your childs doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

• #73 Eosinophilic oesophagitis – A guide for primary care

  https://www.racgp.org.au/afp/2015/october/eosinophilic-oesophagitis-a-guide-for-primary-care

  Most patients are treated with an 8-week course of topical steroids and re-assessed. The vast majority will be symptom-free following this treatment. […] The correlation between symptoms and the histological severity of EoE is weak, so periodic surveillance endoscopic examination is probably warranted. […] Avoiding allergens can often reverse the disease process of EoE. Successful implementation of a suitable dietary plan can be made easier with assistance from a dietitian. […] There is a role for acid suppression in patients with EoE, but it is not a curative measure. […] Oesophageal dilation is very effective in widening the oesophageal diameter and providing rapid relief of dysphagia.

• #74

  https://childrenswi.org/publications/teaching-sheet/clinical-nutrition/1294-eosinophilic-esophagitis

  Nurse. The nurse coordinates care and answers questions between clinic visits. […] Treatment may include taking foods out of the diet or taking medicines. […] A variety of visits may be needed: […] Gastroenterologist and dietitian visits. They will check: -Success of treatment. -Management of other medical concerns. -Growth and nutrition. […] Diet changes are one kind of treatment. Foods are taken out of the diet. This does not cure the disease, but it keeps it from coming back. […] The formula has all the nutrition needed to help your child grow and develop. Often, a large amount must be given. A feeding tube may be needed to help your child get all their nutrition. […] Medicines are another way to treat EoE. They do not cure the disease. Stopping the medicine may cause the symptoms to come back. […] An endoscopy is the only way to check if the treatment is working. […] Call your childs doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

• #75 Eosinophilic Esophagitis (EoE) Program

  https://www.nationwidechildrens.org/specialties/eosinophilic-esophagitis-program

  The Eosinophilic Esophagitis (EoE) Program at Nationwide Childrens Hospital provides expert diagnosis and care to children and adolescents with EoE. […] The EoE Program at Nationwide Childrens relies on a multidisciplinary team to provide expertise for eosinophilic esophagitis. Our team includes: […] EoE can affect children of all ages, but it is most often found in adolescents. […] Any approach to managing EoE must be tailored to each familys unique needs. Patients should be monitored regularly to determine the effects of any dietary changes or medication. […] Nationwide Childrens offers transnasal endoscopy (TNE), a type of endoscopy that can be used for monitoring patients with EoE. […] EST can be used for patients who need frequent assessments of their EoE. Nationwide Childrens is the first pediatric hospital in the Midwest to offer this innovative and less invasive testing.

• #76 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Early alignment of treatment options with patient preferences and expectations decreases patient frustration and increases adherence to therapy. […] The current evidence-based recommendation is to continue treatment once remission is achieved, as long as it remains acceptable to the patient. […] Patients with recurrent food impactions and a narrow-caliber esophagus ( 17 mm) on endoscopy should be offered dilation to reduce the risk of food bolus obstruction. […] Shared decision-making is essential to the long-term success of eosinophilic esophagitis care.

• #77

  https://www.healio.com/news/allergy-asthma/20230918/lack-of-timely-followup-care-common-among-patients-with-eosinophilic-esophagitis

  Adults with eosinophilic esophagitis often failed to return to their specialist for timely follow-up care, according to a letter published in Annals of Allergy, Asthma Immunology. […] Based on these findings, the authors characterized adherence to recommended medical treatment plans as poor among patients with EoE, but because the study was retrospective, they did not have any explanation for why patients failed to follow up with care. […] Doctors who treat EoE as well as other chronic medical conditions need to improve communication through shared decision-making, he said, adding that shared decision-making has been shown to improve adherence. […] Clinicians who manage patients with EoE can help improve adherence and remove barriers to treatment by having open discussion with our patients and shared decision-making. […] Educating patients on their disease state and complications of untreated EoE in a way they can understand is prudent. […] From a long-term follow-up perspective, offering the option of telehealth visits can improve the adherence with follow-up appointments.

• #78 Diagnosis and management of eosinophilic esophagitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10843442/

  Early alignment of treatment options with patient preferences and expectations decreases patient frustration and increases adherence to therapy. […] The current evidence-based recommendation is to continue treatment once remission is achieved, as long as it remains acceptable to the patient. […] Patients with recurrent food impactions and a narrow-caliber esophagus ( 17 mm) on endoscopy should be offered dilation to reduce the risk of food bolus obstruction. […] Shared decision-making is essential to the long-term success of eosinophilic esophagitis care.

• #79 Nursing Care Plan For Esophagitis – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-esophagitis/

  Patient education is a central component of the care plan, empowering individuals to take an active role in managing their condition and preventing recurrences. […] The nursing interventions provided encompass a range of strategies, from medication management, lifestyle modifications, and symptom relief to patient education on dietary choices and GERD prevention. […] These nursing interventions for esophagitis aim to alleviate pain and discomfort, enhance swallowing function, and reduce the risk of complications. Individualized care plans should be developed based on the patients specific condition and preferences. Collaboration with the healthcare team, ongoing assessment, and patient education are essential for optimizing patient outcomes and improving their quality of life.

• #80 Eosinophilic Esophagitis (EoE) Treatment | Children’s Hospital Colorado

  https://www.childrenscolorado.org/doctors-and-departments/departments/digestive-health/programs/eosinophilic-gastrointestinal-diseases/eoe-treatment/

  EoE is a lifelong condition, which means it requires lifelong treatment. […] Our multidisciplinary team includes psychologists, feeding therapists and registered dietitians. […] With successful EoE treatment, both your child and your familys quality of life should improve. […] Our registered dietitians will work with your family to design an EoE diet and plan that maximizes nutrition for your child while working to accommodate the other needs of your family. […] We recognize EoE is stressful for your child and your family. […] Registered dietitians are nutritional experts who ensure a child is receiving the nutrients they need for healthy growth and development. […] Involving a registered dietitian is especially important if your child is on an elimination diet. […] Elimination diets are still an effective treatment method for EoE, even without medication.

• #81 Eosinophilic Esophagitis (EoE) | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/eosinophilic-esophagitis

  EoE is a chronic condition. You will need to manage it for the rest of your life. This includes staying away from the foods or allergens that cause your allergic reaction. […] It’s important to work closely with your gastroenterologist. They can tell you when you need tests to see if the EoE is getting better or worse. An allergist and dietitian can help you manage related problems, such as asthma, allergic rhinitis, and food allergies. […] You may need to take medicines and change your diet. […] You will work with an allergist or a gastroenterologist. No medicines can cure EoE. But some medicines can reduce the swelling in your esophagus. […] Talk with your healthcare providers about the risks, benefits, and possible side effects of all treatments.

• #82 Eosinophilic Esophagitis | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/digestion-and-metabolic-health/eosinophilic-esophagitis.html

  Specialist care from board-certified doctors with decades of experience diagnosing and treating rare esophageal diseases like EoE. […] Multispecialty approach with gastroenterologists, allergists, dietitians, and nurses, working together to plan the best diagnostic and treatment options for you. […] Our nutritionists work with you to find dietary changes, including avoiding trigger foods, that may help manage symptoms of EoE without other forms of treatment. […] If dietary changes alone are not enough to manage EoE, certain medications may help reduce or eliminate symptoms. […] Our skilled team of doctors are trained in the latest minimally invasive techniques for stretching the esophagus. […] Because of the nature of EoE, the Esophagus Center doctors closely collaborate with specialists in immunology and nutrition. Working together, we find the best, least invasive treatment solutions for you, so you can lead a symptom-free, healthier life. […] The Esophagus Center offers all treatment services in one convenient location.

• #83 Adult Eosinophilic Esophagitis Program

  https://www.massgeneral.org/medicine/gastroenterology/treatments-and-services/adult-eosinophilic-esophagitis

  Eosinophilic esophagitis is an increasingly recognized disorder of the esophagus that can affect patients of any age, and typically presents with difficulty swallowing, food getting stuck and sometimes chest pain or an abnormal sensation in the chest and upper abdomen. […] At the Adult Eosinophilic Esophagitis Program at Mass General, a core multi-disciplinary care team with members from Gastroenterology, Allergy/Immunology and Nutrition works with patients to provide expert diagnosis, leading-edge medical interventions and personalized, ongoing care to help patients manage their eosinophilic esophagitis. […] The mainstays of treatment for eosinophilic esophagitis include dietary changes and medications that suppress the eosinophils, as well as additional experimental therapies, which sometimes are used for related disorders such as asthma. […] Patient education and support are important components of our mission. We are committed to helping patients understand their disease, assess their treatment options, participate in their treatment decisions and feel in control of their disease.

• #84 Eosinophilic Esophagitis (EoE) Treatment | Children’s Hospital Colorado

  https://www.childrenscolorado.org/doctors-and-departments/departments/digestive-health/programs/eosinophilic-gastrointestinal-diseases/eoe-treatment/

  EoE is a lifelong condition, which means it requires lifelong treatment. […] Our multidisciplinary team includes psychologists, feeding therapists and registered dietitians. […] With successful EoE treatment, both your child and your familys quality of life should improve. […] Our registered dietitians will work with your family to design an EoE diet and plan that maximizes nutrition for your child while working to accommodate the other needs of your family. […] We recognize EoE is stressful for your child and your family. […] Registered dietitians are nutritional experts who ensure a child is receiving the nutrients they need for healthy growth and development. […] Involving a registered dietitian is especially important if your child is on an elimination diet. […] Elimination diets are still an effective treatment method for EoE, even without medication.

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