Evidence map›Paper›PMID 40626738›Full record

ArticleThe Laryngoscope2025

Investigating Airway Symptoms in Eosinophilic Esophagitis (EoE).

Angela Huynh, Amanda Adsett, Amy Callaghan, Hien Q Huynh, Hamdy El-Hakim, André Isaac, Daniela M Isaac

Abstract read
In one paragraph

Article in The Laryngoscope, 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. Eosinophilic esophagitis: An aerodigestive perspective.Journal of pediatric gastroenterology and nutrition · 2026
    Review
  2. Review
  3. 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

7 authors.

Angela HuynhDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0002-3710-8854
Amanda AdsettDepartment of Rehabilitation Medicine, Stollery Children's Hospital, Edmonton, Alberta, Canada.
Amy CallaghanDepartment of Surgery, Division of Pediatric Surgery, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada.
Hien Q HuynhDepartment of Pediatrics, Division of Pediatric Gastroenterology, University of Alberta, Edmonton, Alberta, Canada.
Hamdy El-HakimDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.
André IsaacDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0003-1551-9588
Daniela M IsaacDepartment of Pediatrics, Division of Pediatric Gastroenterology, University of Alberta, Edmonton, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiagnostic delay of eosinophilic esophagitis (EoE) is significant, and efforts are needed to raise awareness and reduce prolonged symptoms and complications. Airway and swallowing symptoms often overlap, especially in children, complicating diagnosis and increasing delays. This study aims to report the range of airway presentations in pediatric EoE patients and identify independent predictors of an EoE diagnosis in patients with aerodigestive symptoms.

methodsWe conducted a retrospective case-control study of pediatric patients < 7 years with histologically confirmed EoE managed in an aerodigestive clinic at a tertiary pediatric center. Variables included demographics, atopic comorbidities, risk factors, airway and dysphagia symptoms, and adaptive eating behaviors. EoE cases were age-matched to controls with aerodigestive issues and no EoE. Multivariate regression analysis identified independent predictors of EoE.

resultsFifty EoE patients were included, along with 50 controls. The mean age was 2.4 years, with 70% male. Common EoE symptoms included solid food dysphagia (62%), food pocketing (62%), and self-reported food allergies (72%). Airway symptoms included chronic cough (38%) and choking (32%). Multivariate analysis identified food allergy (OR 15.7) and food pocketing (OR 11.81) as independent predictors, while dysphagia with liquids (OR 0.058) and recurrent pneumonia (OR 0.022) were negative predictors.

conclusionAirway symptoms in pediatric EoE can overlap with other conditions, complicating diagnosis. Key features such as adaptive eating behavior and food allergies should raise suspicion for EoE. LEVEL OF EVIDENCE: 3:

Indexed as

Deglutition DisordersEosinophilic EsophagitisAirway ObstructionCase-Control StudiesChildChild, PreschoolFemaleFood HypersensitivityHumansInfantMaleRetrospective StudiesRisk Factorsaerodigestive symptomsairway presentationeosinophilic esophagitis

Identifiers

PMID40626738
PMCPMC12706561

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Registered trials

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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.