Eosinophilic esophagitis: A rare case of dysphagia

Session

Medicine and Nursing

Description

Eosinophilic esophagitis (EoE) is a chronic, inflammatory disease of the esophagus associated with the infiltration of the mucosa by eosinophils and is accompanied by symptoms such as dysphagia, food impaction, and retrosternal pain. In recent decades, a significant increase in its incidence has been observed, especially in Western countries, making it one of the main causes of dysphagia in young individuals. The diagnosis of EoE is based on a combination of clinical and endoscopic findings and histopathological biopsies, which confirm an infiltration of more than 15 eosinophils/HPF (high-power field). Differentiation from other diseases, especially gastroesophageal reflux resistant to treatment with proton pump inhibitors, is essential to establish the appropriate therapy. The treatment of EoE involves a combined approach known as “the 3Ds”: elimination diet, drug therapy (proton pump inhibitors and topical corticosteroids), and endoscopic dilation in cases with strictures. Management requires long-term monitoring to prevent the development of fibrosis and structural complications of the esophagus. Our paper presents a case study that illustrates the clinical, diagnostic, and therapeutic aspects of this pathology. The aim is to emphasize the importance of early diagnosis and a multidisciplinary approach, with the goal of improving the quality of life for patients and reducing long-term complications.

Keywords:

esophagitis, eosinophils, dysphagia

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-982-41-2

Location

UBT Lipjan, Kosovo

Start Date

25-10-2025 9:00 AM

End Date

26-10-2025 6:00 PM

DOI

10.33107/ubt-ic.2025.376

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Oct 25th, 9:00 AM Oct 26th, 6:00 PM

Eosinophilic esophagitis: A rare case of dysphagia

UBT Lipjan, Kosovo

Eosinophilic esophagitis (EoE) is a chronic, inflammatory disease of the esophagus associated with the infiltration of the mucosa by eosinophils and is accompanied by symptoms such as dysphagia, food impaction, and retrosternal pain. In recent decades, a significant increase in its incidence has been observed, especially in Western countries, making it one of the main causes of dysphagia in young individuals. The diagnosis of EoE is based on a combination of clinical and endoscopic findings and histopathological biopsies, which confirm an infiltration of more than 15 eosinophils/HPF (high-power field). Differentiation from other diseases, especially gastroesophageal reflux resistant to treatment with proton pump inhibitors, is essential to establish the appropriate therapy. The treatment of EoE involves a combined approach known as “the 3Ds”: elimination diet, drug therapy (proton pump inhibitors and topical corticosteroids), and endoscopic dilation in cases with strictures. Management requires long-term monitoring to prevent the development of fibrosis and structural complications of the esophagus. Our paper presents a case study that illustrates the clinical, diagnostic, and therapeutic aspects of this pathology. The aim is to emphasize the importance of early diagnosis and a multidisciplinary approach, with the goal of improving the quality of life for patients and reducing long-term complications.