Evidence map›Paper›PMID 31584371›Full record

ReviewCurrent pediatric reviews2020

Eosinophilic Esophagitis in Children: Clinical Findings and Diagnostic Approach.

Arianna De Matteis, Giuseppe Pagliaro, Vito Domenico Corleto, Claudia Pacchiarotti, Emilio Di Giulio, Maria Pia Villa, Pasquale Parisi, Francesca Vassallo, Chiara Ziparo, Giovanni Di Nardo

Abstract readReview
In one paragraph

Review in Current pediatric reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Recommendations for the diagnosis and management of eosinophilic esophagitis in adults and children in Canada: a Delphi consensus project.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Review
  8. Cow milk protein allergy mimics in infancy.World journal of clinical pediatrics · 2025
    Review
  9. Article
  10. Article
  11. Eosinophilic Esophagitis-What Do We Know So Far?Journal of clinical medicine · 2023
    Review
  12. Clinical Features of Eosinophilic Esophagitis: A Single Center Experience in Ecuador.Pediatric gastroenterology, hepatology & nutrition · 2022
    Article
  13. Article
  14. Review
  15. Sleep in children with eosinophilic esophagitis.World journal of pediatrics : WJP · 2021
    Article
  16. Article
  17. Nationwide Multicenter Study of Eosinophilic Esophagitis in Korean Children.Pediatric gastroenterology, hepatology & nutrition · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Arianna De MatteisDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, Naples, Italy.
Giuseppe PagliaroPediatric Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Vito Domenico CorletoEndoscopy Unit, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
Claudia PacchiarottiNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Emilio Di GiulioEndoscopy Unit, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
Maria Pia VillaNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Pasquale ParisiNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Francesca VassalloNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Chiara ZiparoNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.
Giovanni Di NardoNESMOS Department, School of Medicine & Psychology, Sapienza - University of Rome, Sant'Andrea University Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eosinophilic esophagitis (EoE) is an emerging chronic immune and antigen-mediated clinicopathologic disease. During the last 2 decades, the incidence of this condition in children has increased significantly, thanks to practitioners for creating the awareness and higher use of diagnostic endoscopy. We have analysed paediatric literature on EoE focusing on the epidemiology, pathophysiology, clinical findings and diagnostic approach. EoE is pathogenically related to a Th2 inflammation characterized by a mixed IgE and non-IgEmediated reaction to food and/or environmental agents. This leads to esophageal dysfunction and remodeling accompanied by subepithelial fibrosis. EoE can be presented with several range of gastrointestinal symptoms, including regurgitation, vomiting, feeding difficulties or feeding refusal in infants and toddlers, as well as heartburn, dysphagia and food bolus impaction in older children and adults. The diagnostic suspicion is based on the presence of chronic symptoms of esophgeal dysfunction and esophageal eosinophilia characterised histologically by a significant eosinophilic infiltration of the oesophageal mucosa (>15 eosinophils per high powered field). In this review, we will provide an update on clinical presentation and diagnostic approach to EoE in children. We emphasized on the relevant aspects of the new clinical condition termed "PPI responsive esophageal eosinophilia", as entities distinct from EoE and the role of PPI trial in the diagnostic workup, therefore we proposed a new diagnostic algorithm.

Indexed as

ChildDiagnosis, DifferentialEosinophilic EsophagitisEsophagoscopyEsophagusEuropeGastroesophageal RefluxHumansProton Pump InhibitorsUnited StatesProton Pump InhibitorsdysphagiaEoEgastroesophageal reflux diseasegastrointestinalproton pump inhibitorssubepithelial fibrosis

Identifiers

PMID31584371
PMCPMC8193808

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.