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Correspondence
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Volume 357:1446-1447 October 4, 2007 Number 14
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Eosinophilic Esophagitis

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 by Hawari, R.
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To the Editor: In the description of their Image in Clinical Medicine on eosinophilic esophagitis (May 17 issue),1 Hawari and Pasricha note that endoscopic dilation of the esophageal stricture near the gastroesophageal junction was performed before treatment with oral fluticasone. The safety and efficacy of esophageal dilation in patients with eosinophilic esophagitis are still controversial. Straumann et al.2 treated 11 patients with dilation and reported complete improvement in 6 patients and partial relief in 4 without relevant complications. However, Shafi et al.3 treated 10 patients with 16 endoscopic dilations, 5 of which resulted in free perforation or a deep tear. . . . [Full Text of this Article]




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