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World J Gastroenterol. Aug 21, 2014; 20(31): 11019-11022
Published online Aug 21, 2014. doi: 10.3748/wjg.v20.i31.11019
Published online Aug 21, 2014. doi: 10.3748/wjg.v20.i31.11019
Significance of feeding dysfunction in eosinophilic esophagitis
Calies Menard-Katcher, Department of Pediatrics, Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital Colorado, Gastrointestinal Eosinophilic Diseases Program, University of Colorado School of Medicine, Aurora, CO 80045, United States
Michelle Henry, Department of Clinical Nutrition, Children’s Hospital Colorado, Gastrointestinal Eosinophilic Diseases Program, Aurora, CO 80045, United States
Glenn T Furuta, Department of Pediatrics, Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital Colorado, Gastrointestinal Eosinophilic Diseases Program, Mucosal Inflammation Program, University of Colorado School of Medicine, Aurora, CO 80045, United States
Dan Atkins, Section of Pediatric Allergy, Children’s Hospital Colorado, Gastrointestinal Eosinophilic Diseases Program, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, United States
Nancy Creskoff Maune, Department of Occupational Therapy, Children’s Hospital Colorado, Aurora, CO, 80045, United States
Angela M Haas, Department of Audiology, Speech-Language Pathology, Learning Services, Children’s Hospital Colorado Aurora, CO 80045, United States
Author contributions: Maune N and Haas AM contributed equally as senior authors; Menard-Katcher C, Henry M, Furuta GT, Atkins D, Maune NC and Haas AM all provided substantial contributions to conception and design, acquisition of data, and analysis and interpretation of data; drafting the article and revising it critically for important intellectual content; and provided final approval of the version to be published.
Supported by NIH 1K24DK100303 (to Furuta GT)
Correspondence to: Glenn T Furuta, MD, Professor, Director, Department of Pediatrics, Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital Colorado, Gastrointestinal Eosinophilic Diseases Program, Mucosal Inflammation Program, University of Colorado School of Medicine, 13123 East 16th Avenue B290, Aurora, CO 80045, United States. glenn.furuta@childrenscolorado.org
Telephone: +1-720-7777457 Fax: +1-720-7777277
Received: January 19, 2014
Revised: March 12, 2014
Accepted: April 1, 2014
Published online: August 21, 2014
Processing time: 213 Days and 18.1 Hours
Revised: March 12, 2014
Accepted: April 1, 2014
Published online: August 21, 2014
Processing time: 213 Days and 18.1 Hours
Abstract
Feeding dysfunction is a frequent presenting symptom of eosinophilic esophagitis (EoE). Here we present 3 children of various ages whose manifestations of EoE associated feeding dysfunction led to significant and life altering impact on their growth and development. Early identification of presenting symptoms of EoE will allow for prompt diagnosis and initiation of appropriate treatments. Recognition of salient features of dysfunction and treatment by feeding therapists and nutritionists led to symptom resolution and growth.
Keywords: Eosinophilic esophagitis; Eosinophilic oesophagitis; Feeding dysfunction; Feeding therapy oral motor skills; Mealtime dynamics; Esophagitis; Oesophagitis
Core tip: Children with eosinophilic esophagitis may present with severe feeding dysfunction that manifests as growth disturbances. Feeding therapy can be an integral part of the treatment plan.