Kaur P, Chevalier R, Friesen C, Ryan J, Sherman A, Page S. Diagnostic role of fractional exhaled nitric oxide in pediatric eosinophilic esophagitis, relationship with gastric and duodenal eosinophils. World J Gastrointest Endosc 2023; 15(5): 407-419 [PMID: 37274554 DOI: 10.4253/wjge.v15.i5.407]
Corresponding Author of This Article
Panamdeep Kaur, MD, Assistant Professor, Department of Pediatric Gastroenterology, Connecticut Children’s Medical Center, University of Connecticut School of Medicine, 282 Washington Street, Hartford, Connecticut, CT 06106, United States. dr.panam.chd@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. May 16, 2023; 15(5): 407-419 Published online May 16, 2023. doi: 10.4253/wjge.v15.i5.407
Table 1 Atopy screening questionnaire
Atopy screening questionnaire
(1) Has the patient ever been allergy tested?
Yes
No
(2) Has the patient ever been on allergy shots?
Yes
No
(3) In past 12 mo, has the patient had the following symptoms lasting for > 4 wk at a time? (Check all that apply)
Itching of eyes or nose
Sneezing
Stuffiness of nose
Seasonal or year-round runny nose
Eye itching/tearing/redness
(4) What seasons are the above symptoms most noticeable? (Check all that apply) Spring
Summer
Fall
Winter
Year-round
(5) Has the patient ever had one of the following? (Check all that apply)
Doctor diagnosed “allergic rhinitis”
Doctor diagnosed “allergic conjunctivitis”
(6) In past 12 mo, has the patient had any of the following skin symptoms lasting > 4 wk at a time? (Check all that apply)
Itchy skin
Red skin
Bumpy skin
Rash on the face, or at the elbow, or knee joints, behind the ear, tops of feet, wrists
Rash that you have put steroid cream on (hydrocortisone, triamcinolone)
(7) Has the patient ever had doctor diagnosed “eczema”?
Yes
No
(8) Has the patient ever had doctor diagnosed “reactive airways disease,” “asthma,” or “chronic bronchitis?”
Yes
No
(9) In the past 12 mo, has the patient ever required the use of an inhaler or nebulizer?
Yes
No
(10) In the past 12 mo, has the patient had any of the following respiratory symptoms that have lasted > 2 wk at a time? (Check all that apply)
Wheeze
Shortness of breath
Difficulty breathing
Sputum production
Chest pain/tightness
Cough
Nighttime wakening from cough
Exercise that required the use of an inhaler to help breathe
(11) Has the patient taken any of the following medications in the past year? (Check all that apply)
Table 2 Has the patient taken any of the following medications in the past year
Drug
Yes
No
Maybe
Claritin (loratadine)
Zyrtec (cetirizine)
Allegra (fexofenadine)
Sudafed (pseudoephedrine)
Singulair (montelukast)
Rynatan (chlorpheniramine)
Pro-Air, Ventolin (albuterol)
Flovent (fluticasone)
Pulmicort (budesonide)
Advair (fluticasone/salmeterol)
Orapred (prednisone)
Xolair (omalizumab)
Flonase (fluticasone)
Nasonex (mometasone)
Nasacort (triamcinolone)
Rhinocort (budesonide)
Veramyst (fluticasone)
Omnaris (ciclesonide)
Astelin (azelastine)
Astepro (azelastine)
Patanase (olopatadine)
NasalCrom (cromolyn)
Table 3 Patient demographics, n (%)
Total, n = 124
EoE, n = 37
No EoE, n = 87
Age (mean ± SD), yr
13.3 ± 3.2
13.5 ± 3.3
13.2 ± 3.2
Gender
Female
67 (55.4)
12 (32.4)
55 (65.5)
Male
54 (44.6)
25 (67.6)
29 (34.5)
Race
American Indian or Alaska Native
2 (1.6)
0 (0)
2 (2.3)
African American
5 (4.0)
4 (10.8)
1 (1.2)
White
104 (83.9)
31 (83.8)
73 (83.9)
Hispanic, Latin or Spanish origin
4 (3.2)
0 (0)
4 (4.6)
From multiple races
2 (1.6)
1 (2.7)
1 (1.2)
Not specified
7 (5.6)
1 (2.7)
6 (6.9)
Table 4 Clinical patient characteristics, n (%)
EoE (n = 45)
Non-EoE (n = 89)
Symptoms
Dysphagia
14 (31.1)
21 (23.5)
Feeling of impaction
9 (20.0)
1 (1.1)
Food impaction
3 (6.67)
1 (1.1)
Choking
1 (2.2)
3 (3.4)
Throat tightness
1 (2.2)
0 (0)
Throat clearing
3 (6.67)
1 (1.1)
Abdominal pain
14 (31.1)
55 (61.8)
Vomiting
6 (13.3)
14 (15.7)
Chest pain
2 (4.4)
4 (4.5)
Heartburn
4 (8.9)
8 (8.9)
Poor appetite
0 (0)
2 (2.3)
Endoscopy
Edema
2 (4.44)
1 (1.1)
Rings
2 (4.4)
0 (0)
Exudates
2 (4.4)
0 (0)
Furrowing
26 (57.8)
4 (4.5)
Nodularity
4 (8.9)
1 (1.1)
Histology
Basal zone hyperplasia
43 (95.5)
23 (25.8)
Intercellular edema
40 (88.9)
24 (26.9)
Micro abscesses
4 (8.9)
0 (0)
Lamina propria fibrosis
5 (11.1)
0 (0)
Citation: Kaur P, Chevalier R, Friesen C, Ryan J, Sherman A, Page S. Diagnostic role of fractional exhaled nitric oxide in pediatric eosinophilic esophagitis, relationship with gastric and duodenal eosinophils. World J Gastrointest Endosc 2023; 15(5): 407-419