Pediatric Eosinophilic Esophagitis

  • Etiology:
  • Imaging UpperGI:
    — While there are numerous potential findings this is not a sensitive method to make the diagnosis
    — Multiple ring-like strictures of the esophagus
  • Complications:
  • Treatment:
  • Clinical: Food bolus impaction is associated with eosinophilic esophagitis and thus all patients with food bolus impaction and no history of esophageal surgery should be worked up for this eosinophilic esophagitis

Radiology Cases of Eosinophilic Esophagitis

CT and upper GI of eosinophilic esophagitis
Axial CT without contrast of the chest (above) shows posterior to the trachea a dilated proximal esophagus due to food being impacted within it. AP (below left) and lateral (below right) images from an upper GI exam after the food bolus was removed from the esophagus show multiple ring-like narrowings encircling the proximal esophagus. The remainder of the esophagus was unremarkable.