Evidence map›Paper›PMID 40101261›Full record

ReviewDeutsches Arzteblatt international2025

Eosinophilic Esophagitis: Prevalence, Diagnosis, and Treatment in Childhood and Adulthood.

André Hoerning, Jens-Oliver Steiß, Ahmed Madisch, Jan de Laffolie

Abstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. PSMB8 stratifies therapy response in eosinophilic esophagitis.Clinical and experimental immunology · 2026
    Article
  2. Article
  3. [Eosinophilic esophagitis-an underestimated food allergy?]Dermatologie (Heidelberg, Germany) · 2025
    Review
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

4 authors.

André HoerningPaediatric Gastroenterology, Hepatology and Endoscopy, University Hospital Erlangen, Pediatrics, Germany, Friedrich-Alexander-Universität Erlangen-Nürnberg; Department of General Pediatrics and Neonatology, Division of Pulmonology and Allergy, Justus-Liebig-University, University Hospital Giessen und Marburg, Giessen, Germany; Centre for Internal Medicine, Diakovere Frederikenstift, Hannover; Department of General Pediatrics and Neonatology, Justus-Liebig-University, University Hospital Giessen und Marburg, Giessen, Germany.
Jens-Oliver Steiß
Ahmed Madisch
Jan de Laffolie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEosinophilic esophagitis is a chronic, Th2 immune-mediated disease of the esophagus characterized by eso - phageal dysfunction and predominant eosinophilic inflammation. Its prevalence and incidence have risen in recent years and now stand at 16.1 per 100 000 persons and 1.7 per 100 000 persons per year.

methodsThis review is based on selected publications retrieved by a search in PubMed, Medline, and Google Scholar for clinical trials, reviews, and guidelines that were published between 2011 and 2024 in either English or German (search term, "eosinophilic esophagitis").

resultsEosinophilic esophagitis markedly impairs patients' quality of life; its diagnosis is often delayed. It can be treated with an appropriately altered diet, pharmacotherapy, and/or endoscopic intervention ("diet, drugs, dilatation"). Elimination diets with the omission of 2, 4, or 6 food groups lead to histological remission in 43%, 60%, and 79% of patients, respectively. An entirely amino acid-based diet leads to histological remission in over 90% of patients, but can only be performed for a limited time. Topical corticosteroids lead to histological remission in 60-87% of cases, proton-pump inhibitors in 30-50%, and dupilumab (anti-IL- 4Rα/IL-13Rα1) in 60-86%. These treatments differ widely in their side-effect profiles and in the restrictions they impose in everyday life, and their use must be considered individually for each patient. Because eosinophilic esophagitis is a chronic disease, remission maintenance therapy is needed over the long term.

conclusionEosinophilic esophagitis was first described three decades ago. Effective treatments are available, but questions remain concerning the longterm course of the disease, remission maintenance therapy, and non-invasive markers of disease activity, among others. Delays in diagnosis should be avoided. The appropriate treatment and long-term care of the affected patients are needed to assure them an optimal quality of life.

Indexed as

Eosinophilic EsophagitisAdolescentAdultChildChild, PreschoolFemaleGermanyHumansMalePrevalenceProton Pump InhibitorsQuality of LifeProton Pump Inhibitors

Identifiers

PMID40101261
PMCPMC12504871

What OpenQuestion holds

Textmetadata
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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.