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Environmental and infectious factors in eosinophilic esophagitis.

Abstract Identifying possible environmental or infectious etiologic factors for eosinophilic esophagitis (EoE) may offer insight into opportunities for disease prevention and treatment. We reviewed the current literature to assess environmental and infectious factors evaluated in EoE. Few studies have been conducted, however a consistent inverse association between EoE and H. pylori has been described. Several studies suggest a weak association between season and EoE diagnosis, but the evidence is inconclusive. EoE has also been associated with early life factors, including Cesarean delivery and antibiotic use. Larger studies are needed to evaluate these associations more thoroughly. Several papers have speculated the potential for anti-secretory agents to contribute to EoE. This has not been formerly evaluated. In summary, there is significant opportunity in the future to advance our understanding of possible environmental etiologic factors for EoE.
PMID
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Authors

Mayor MeshTerms
Keywords

Environment

Eosinophilic esophagitis

Epidemiology

Etiology

Infection

Risk factors

Journal Title best practice & research. clinical gastroenterology
Publication Year Start




PMID- 26552771
OWN - NLM
STAT- MEDLINE
DA  - 20151110
DCOM- 20160309
LR  - 20151115
IS  - 1532-1916 (Electronic)
IS  - 1521-6918 (Linking)
VI  - 29
IP  - 5
DP  - 2015 Oct
TI  - Environmental and infectious factors in eosinophilic esophagitis.
PG  - 721-9
LID - 10.1016/j.bpg.2015.06.008 [doi]
LID - S1521-6918(15)00093-1 [pii]
AB  - Identifying possible environmental or infectious etiologic factors for
      eosinophilic esophagitis (EoE) may offer insight into opportunities for disease
      prevention and treatment. We reviewed the current literature to assess
      environmental and infectious factors evaluated in EoE. Few studies have been
      conducted, however a consistent inverse association between EoE and H. pylori has
      been described. Several studies suggest a weak association between season and EoE
      diagnosis, but the evidence is inconclusive. EoE has also been associated with
      early life factors, including Cesarean delivery and antibiotic use. Larger
      studies are needed to evaluate these associations more thoroughly. Several papers
      have speculated the potential for anti-secretory agents to contribute to EoE.
      This has not been formerly evaluated. In summary, there is significant
      opportunity in the future to advance our understanding of possible environmental 
      etiologic factors for EoE.
CI  - Copyright (c) 2015 Elsevier Ltd. All rights reserved.
FAU - Jensen, Elizabeth T
AU  - Jensen ET
AD  - Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and
      Hepatology, Department of Medicine, University of North Carolina School of
      Medicine, Chapel Hill, NC, United States; Center for Gastrointestinal Biology and
      Disease, Division of Gastroenterology and Hepatology, Department of Medicine,
      University of North Carolina School of Medicine, Chapel Hill, NC, United States; 
      Department of Epidemiology and Prevention, Division of Public Health Sciences,
      Wake Forest University School of Medicine, United States. Electronic address:
      [email protected]
FAU - Dellon, Evan S
AU  - Dellon ES
AD  - Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and
      Hepatology, Department of Medicine, University of North Carolina School of
      Medicine, Chapel Hill, NC, United States; Department of Epidemiology, Gillings
      School of Global Public Health, University of North Carolina, Chapel Hill, NC,
      United States. Electronic address: [email protected]
LA  - eng
GR  - K23 DK090073/DK/NIDDK NIH HHS/United States
GR  - K23 DK090073/DK/NIDDK NIH HHS/United States
GR  - U54 AI117804/AI/NIAID NIH HHS/United States
GR  - U54AI117804/AI/NIAID NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Review
DEP - 20150717
PL  - Netherlands
TA  - Best Pract Res Clin Gastroenterol
JT  - Best practice & research. Clinical gastroenterology
JID - 101120605
SB  - IM
MH  - Communicable Diseases/*complications
MH  - Environmental Illness/*complications
MH  - Eosinophilic Esophagitis/*etiology
MH  - Humans
PMC - PMC4641821
MID - NIHMS709295
OID - NLM: NIHMS709295 [Available on 10/01/16]
OID - NLM: PMC4641821 [Available on 10/01/16]
OTO - NOTNLM
OT  - Environment
OT  - Eosinophilic esophagitis
OT  - Epidemiology
OT  - Etiology
OT  - Infection
OT  - Risk factors
EDAT- 2015/11/11 06:00
MHDA- 2016/03/10 06:00
CRDT- 2015/11/11 06:00
PMCR- 2016/10/01 00:00
PHST- 2015/05/18 [received]
PHST- 2015/06/07 [revised]
PHST- 2015/06/18 [accepted]
PHST- 2015/07/17 [aheadofprint]
AID - S1521-6918(15)00093-1 [pii]
AID - 10.1016/j.bpg.2015.06.008 [doi]
PST - ppublish
SO  - Best Pract Res Clin Gastroenterol. 2015 Oct;29(5):721-9. doi:
      10.1016/j.bpg.2015.06.008. Epub 2015 Jul 17.

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