Princeton Health onDemand: Eosinophilic Esophagitis (EOE)

Eosinophilic esophagitis (EOE) is a painful condition that occurs when the immune system overreacts, and the esophagus becomes inflamed and doesn't contract properly.
The condition is triggered when a food allergy, seasonal allergies, or acid reflux cause an overabundance of white blood cells to pool in the esophagus.
If left untreated, the chronic inflammation caused by EOE can lead to scarring and permanent narrowing of the esophagus due to formation of excessive fibrous tissue.
In this video, Jim Lim, MD, who is board certified in gastroenterology and internal medicine and part of the medical staff at Princeton Medical Center’s Center for Digestive Health, discusses this chronic condition.
Dr. Lim reviews common EOE symptoms, diagnostic testing, and a variety of treatment options.
To schedule a consultation with a Center for Digestive Health provider, please call 609.853.6390. To learn more about eosinophilic esophagitis, visit
princetonhcs.org/EOE.

[@Beloved20223]

Can a moderate stenosis/stricture due to EOE go away with food elimination diet, steroids, and a PPI? Or only by dilation?

[@PrincetonHealth]

Thank you for your question. Speaking in general terms and not to any specific patient's situation, a moderate stenosis/stricture from EOE can improve with the treatments that you mentioned. When swallowing difficulties persist, a dilation is considered as a next step. The physician screens each patient to determine and recommend if dilating the stricture will lead to the quickest resolution in symptoms.