Episode # 257 • 20 Jan 2026
Understanding Eosinophilic Esophagitis: Diagnosis & Treatment Strategies
Think beyond the esophagus. Up to 75% of eosinophilic esophagitis (EoE) patients have ENT-relevant atopic disease that is often best managed with a multidisciplinary approach. Get caught up on best practices in EoE diagnosis and treatment with this episode of the BackTable ENT Podcast, featuring dual board-certified gastroenterologist and allergist-immunologist Dr. John Leung and host Dr. Basil Kahwash.
Timestamps
00:00 - Introduction
03:13 - Understanding Eosinophilic Esophagitis (EoE)
05:45 - EoE Symptoms and Diagnosis
08:41 - Role of ENT in EoE Diagnosis
11:32 - Diagnostic Criteria for EoE
16:34 - Treatment Options for EoE
20:55 - Role of Allergists and Environmental Allergies
23:24 - Pharmacological Management of EoE
29:38 - Complications and Risks of EoE
36:21 - Follow-Up Endoscopies and Surveillance
40:34 - Future Directions in EoE Management
45:21 - Conclusion and Final Thoughts
Resources
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More about this episode
The discussion covers the definition, symptoms, and diagnosis of EoE, highlighting the role of food and environmental allergies. Dr. Leung and Dr. Kahwash cover diagnostic techniques like endoscopy and emerging non-invasive methods, as well as various treatment options including dietary modifications, pharmacology, and biologics. The doctors also emphasize the importance of multidisciplinary collaboration between gastroenterologists, allergists, and otolaryngologists to provide optimal care for patients with EoE.
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