What is the primary treatment for eosinophilic esophagitis?

The primary treatment for eosinophilic esophagitis involves the removal of offending foods and agents. Eosinophilic esophagitis is an allergic condition characterized by the accumulation of eosinophils in the esophagus, often triggered by certain food allergens or environmental factors. Identifying and eliminating these triggers can significantly reduce inflammation and symptoms.

Dietary management typically includes elimination diets, where common allergens such as dairy, wheat, eggs, soy, nuts, and shellfish are removed one at a time, followed by reintroduction to determine specific sensitivities. This approach not only addresses the underlying cause of the condition but can also lead to substantial improvement in symptoms and esophageal health.

While other treatments, such as corticosteroids or PPIs (proton pump inhibitors), may have a role in managing inflammation or associated symptoms, they do not address the root cause of eosinophilic esophagitis as effectively as dietary modifications. These additional therapies might be used in conjunction with dietary changes, but they are not the primary treatment strategy. Gastrostomy tube placement is typically not indicated for managing eosinophilic esophagitis and is more relevant in other conditions requiring nutritional support or intervention.