PMID- 29043074 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201214 IS - 2046-1402 (Print) IS - 2046-1402 (Electronic) IS - 2046-1402 (Linking) VI - 6 DP - 2017 TI - Recent advances in eosinophilic esophagitis. PG - 1775 LID - 10.12688/f1000research.11798.1 [doi] LID - 1775 AB - Eosinophilic esophagitis is a chronic, antigen-driven, eosinophil-predominant inflammatory disease of the esophagus and affects both children and adults. Cutting-edge technologies, such as genome-wide association studies, have advanced our understanding of the disease pathogenesis at a remarkable rate. Recent insights from genetic and mechanistic studies have concluded that a complex interplay between genetic and environmental risk factors, allergic sensitization, and esophageal-specific pathways leads to disease pathogenesis. Importantly, recent epidemiologic studies have found that the incidence and prevalence of eosinophilic esophagitis continue to rise. New guidelines have advocated the elimination of the term proton pump inhibitor (PPI)-responsive esophageal eosinophilia and have recommended using PPIs as a first-line treatment modality. Systemic reviews and meta-analyses confirm the efficacy of PPIs, topical corticosteroids, and empiric food elimination diets. Unmet needs include the development of birth cohort studies, validated diagnostic scoring systems, minimally invasive disease-monitoring methods, and the development of new therapies. FAU - Durrani, Sandy AU - Durrani S AUID- ORCID: 0000-0001-8311-596X AD - Division of Allergy and Immunology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati OH, 45529, USA. FAU - Rothenberg, Marc AU - Rothenberg M AD - Division of Allergy and Immunology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati OH, 45529, USA. LA - eng GR - R01 AI124355/AI/NIAID NIH HHS/United States GR - U19 AI070235/AI/NIAID NIH HHS/United States PT - Journal Article PT - Review DEP - 20170928 PL - England TA - F1000Res JT - F1000Research JID - 101594320 PMC - PMC5621107 OTO - NOTNLM OT - Eosinophilic esophagitis OT - Proton-Pump inhibitor OT - Topical Croticosteroid COIS- Competing interests: MER is a consultant for NKT Therapeutics, Pulm One, Spoon Guru, Celgene, Shire, Astra Zeneca, GlaxoSmithKline, and Novartis and has an equity interest in the first three listed and Immune Pharmaceuticals and royalties from reslizumab (Teva Pharmaceuticals). He is an inventor of patents, owned by Cincinnati Children's Hospital Medical Center. SRD declares that he has no competing interests.No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed.No competing interests were disclosed. EDAT- 2017/10/19 06:00 MHDA- 2017/10/19 06:01 PMCR- 2017/09/28 CRDT- 2017/10/19 06:00 PHST- 2017/09/29 00:00 [accepted] PHST- 2017/10/19 06:00 [entrez] PHST- 2017/10/19 06:00 [pubmed] PHST- 2017/10/19 06:01 [medline] PHST- 2017/09/28 00:00 [pmc-release] AID - 10.12688/f1000research.11798.1 [doi] PST - epublish SO - F1000Res. 2017 Sep 28;6:1775. doi: 10.12688/f1000research.11798.1. eCollection 2017.