Abstract:
:Formerly considered a rare disorder, eosinophilic esophagitis (EoE) has emerged as a leading cause of feeding problems in children and an increasingly recognized cause of dysphagia and food impaction in adults. Our understanding of EoE and its complex interplay with gastro-esophageal reflux disease (GERD) has evolved over the past decade and culminated in the introduction of proton pump inhibitor (PPI) responsive EoE as a distinct entity which has added to this complexity. It is now clear that this entity is on the same spectrum as the original EoE, and that PPIs should be considered as part of treatment protocol and should not be recommended as a diagnostic tool. As such, removing the PPI trial from the diagnostic algorithm has been encouraged recently. Recent guidelines and reviews thoroughly address various aspects in EoE pathogenesis and diagnostic workup as well as management endpoints, treatment options and novel therapies. However, despite the recent extensive study and the advances in our knowledge of this disease, unmet needs and pitfalls in diagnostic workup and management of these patients are still to be clarified and will be under focus in this review.
journal_name
Minerva Medjournal_title
Minerva medicaauthors
Mari A,Abu Baker F,Mahamid M,Khoury T,Sbeit W,Pellicano Rdoi
10.23736/S0026-4806.19.06322-5subject
Has Abstractpub_date
2020-02-01 00:00:00pages
9-17issue
1eissn
0026-4806issn
1827-1669pii
S0026-4806.19.06322-5journal_volume
111pub_type
杂志文章,评审相关文献
MINERVA MEDICA文献大全abstract::Bearing in mind the single or combined action of epidemiological factors influencing the natural history of the disease, the value of a survey method for rationally and significantly defining the potential degree of carcinogenesis of breast neoplasias in a selected population is tested. The method is designed to diagn...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1984-12-15 00:00:00
abstract::Altered glucose metabolism in obese youth is an emerging phenomenon of the last 2 decades, strongly associated with the increase in the prevalence of childhood obesity. Peripheral insulin resistance, tightly coupled with obesity in this age group, seems to be the major driving force of deteriorating glucose metabolism...
journal_title:Minerva medica
pub_type: 杂志文章,评审
doi:
更新日期:2006-06-01 00:00:00
abstract::Screening of secundary school children and the general opulation of the V. Monaldi Hospital Preventive and Social Medicine Centre,Naples showed a by no means negligible incidence of chronic bronchopneumopathy, particulary in infants. It is felt that, if untreated, these forms may be responsible for chronic respiratory...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1975-03-21 00:00:00
abstract::A functional study was made of 40 patients with bioptically diagnosed CPH. Fractional BSF clearance was the most frequently altered test and its correlation with the anatomical damage was significant. In particular, the fractional uptake clearance (K1) gave a pointer to both the presence of liver damage and its type. ...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1979-07-14 00:00:00
abstract::Two cases of purulent meningitis in subjects with misinterpreted chromophobe adenoma of the hypophysis are presented. Radiography in the acute stage revealed typical enlargement of the sella turcica and thus established the diagnosis, which was eventually confirmed histologically during surgery. The frequency with whi...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1978-04-21 00:00:00
abstract::In the present work receptors for polymerized rat serum albumin (P-RSA) were studied by incubation of radiolabelled polymers with rat hepatocytes isolated with mechanical techniques. Isolated rat hepatocytes showed a receptor activity for polymerized albumin and such a membrane receptor seems to be controlled by the c...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract::The subject of this dissertation is the diet of flight personnel. A rapid review of the general question of diet in general and that of flight personnel in particular is given. On this basis, the various aspects of the problem (energy sources, calorie requirements, activity of the individual, etc.) are examined. The c...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1982-08-25 00:00:00
abstract::The many aspects of heart electrical activity in hypertrophic cardiomyopathy have recently been described in numerous occasions. A vectorcardiographic study was made of two sisters with an echocardiographic diagnosis of hypertrophy of the free wall of the left ventricle. Both the ECG and the VCG shown evidence of pseu...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1984-10-27 00:00:00
abstract::The paper examines the hypothesis that inappropriate drug taking by elderly patients may be related to particular psychological motivations. On the one hand, this may aim to confirm their own "status" as patients for the secondary advantages brought about by illness (attention from other members of the family), even t...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::Methergoline was administered for 5 consecutive days starting on the morning after delivery in the block of lactation in 30 patients. The efficacy of the drug was evaluated in terms of milk production, and mammary congestion and pain. The results obtained and the absence of side-effects showed that the drugs was very ...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1979-11-10 00:00:00
abstract::The prevalence of Hepatitis B Virus (HBV) markers was studied in 350 staff members from a Psychiatric Hospital, where a high prevalence of HBV markers was observed among patients. The prevalence of HBsAg, anti-HBs plus anti-HBc, anti-HBc alone and anti-HBs alone were determined to be: 2%, 15.1%, 4% and 0.3%, respectiv...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Enteric glial cells, strictly associated with enteric neurons to build up enteric ganglia, belong to the enteric nervous system (ENS), which coordinates many bowel functions. The ENS is spread throughout the gut in myenteric and submucosal plexuses. In our research work, we studied immunohistochemically the ENS in two...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::The immunoenzyme method was used to measure serum ferritin levels in 55 patients with haemolymphopathies and advanced solid tumours. Patients were divided into five groups according to tumour type. 50 healthy subjects and 12 patients with cirrhosis of the liver were also studied. In 76% of the cancer patients ferritin...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1986-12-15 00:00:00
abstract::PRA (in the supine and erect subject) and urinary sodium before and after acute treatment (100 mg i.m.) and chronic treatment (100 mg per os for 8 days) were examined in two groups of subjects with no signs of cardiovascular or renal disease. It was found that indomethacin, which is a well-known inhibitor of prostagla...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1978-09-15 00:00:00
abstract::Three cases of lymphoma of the small intestine accompanied by numerous aspecific signs related to probable paraneoplastic syndromes are reported. All patients presented watch glass nails and drumstick fingers. These were associated, in the first patient, with initial pruritus followed by a picture of ichthyosis and, i...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1981-11-03 00:00:00
abstract::A patient with severe Henoch-Schoenlein purpura was successfully treated by combined plasmapheresis and cyclophosphamide therapy. PE proved to be effective in the symptomatic treatment of the disease. Its possible role in the prevention and treatment of HS nephritis is suggested. ...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1982-04-28 00:00:00
abstract::The incidence, aetiology and clinical significance of visceral mycoses in HIV-infected subjects were evaluated by a retrospective survey of the clinical and microbiological records of 237 consecutive AIDS patients followed-up since 1984. Seventy-four patients out of 237 (31.2%) (56 males, 18 females; 55 IV drug abuser...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::In about 5 years of clinical and immunological research, 39 cases of cryoplasmopathies (5 with cryoglobulinaemia and 34 with cryohaemoagglutinaemia) were identified on the basis of immunological typing studies (immunoelectrophoresis, immunodiffusion, identification and isolation of cryoantibodies, cryocrit, titration,...
journal_title:Minerva medica
pub_type: 杂志文章,评审
doi:
更新日期:1978-06-09 00:00:00
abstract:: ...
journal_title:Minerva medica
pub_type: 杂志文章
doi:10.23736/S0026-4806.19.06147-0
更新日期:2019-10-01 00:00:00
abstract::A case of dyslipoproteinaemia of type V in a woman suffering from primary hypothyroidism, florid diabetes mellitus and obesity is reported. The case is commented on in general and as regards possible correlations between the diseases and the dyslipoproteinaemic picture. The various therapeutic treatment employed and r...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1976-07-21 00:00:00
abstract::The value of chemical (protein, LDH, glucose, total and differential cell count) and cytological examination of the ascitic fluid in the differential diagnosis of peritoneal ascites was assessed in a prospective study of 98 patients. The ascites caused by hepatic metastases and primary carcinoma were of the transudati...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1987-03-15 00:00:00
abstract::The authors examine the pharmacological characteristics, distribution and clinical effects of natural (somatostatin) and synthetic (octreotide) growth hormone release inhibitors (GHRIH). They mainly discuss the analgesic effect of these substances using intraspinal, epidural and subarachnoid administration. The intras...
journal_title:Minerva medica
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract::12 patients admitted for neurological diseases and suffering from sleep disturbances, were given Flunitrazepam and placebo (double blind test) in a single evening dose of 1 and 2 mg. Morning recordings of the expectation wave according to G. Walter's technique did not reveal significant changes in wave morphology, amp...
journal_title:Minerva medica
pub_type: 临床试验,杂志文章
doi:
更新日期:1980-02-25 00:00:00
abstract::A case of acute steatosis in pregnancy featuring unusually severe cholestasis is discussed with details of the successful outcome for mother and foetus. The correspondence between clinical picture, histological and ultrasound findings is reported together with a detailed review of the latest reports in the literature ...
journal_title:Minerva medica
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00
abstract::The difficulty of clinical and biochemical diagnosis of insulinoma lies in the extreme variability of both clinical symptoms and glycaemia/insulinaemia levels, so that neither parameter is a totally reliable diagnostic indicator. The possibility of introducing a third parameter, the non-esterified fatty acid (FFA) lev...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1985-09-29 00:00:00
abstract::After a short survey of the main tubercolinic cutaneous tests the Author dwells particularly upon Tine test and intradermoreaction. Then it's produced a casuistics about two groups of it's people with different stories as for B. Kock infection. The results obtained checking up the two groups with Tine test or with int...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1981-06-23 00:00:00
abstract::The preoperative diagnosis of carcinoma of the gallbladder is very difficult because the clinical manifestations of this disease are nonspecific and often indistinguishable from those of cholecystitis. Radiography, including oral cholecystograms and i.v. cholangiograms, give aspecific findings. Ultrasound scans were p...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::Reports in the literature on the difficulty of differential diagnosis between Disseminated Intravascular Coagulation (DIC) Pseudo-DIC and Primary Fibrinolysis (PF) in patients with liver disease, stimulated a study of various coagulation parameters (PT, PTT, Platelets, Fibrinogen, FDP) in 28 cirrhotic patients. The st...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1988-03-01 00:00:00
abstract::The frequency of thyroid alterations was examined and dietary iodine intake was assessed via urinary iodine in 6-15 yr-old schoolchildren from 145 towns in Piedmont and the Aosta Valley. Local food iodine values were also determined in 56 towns. Alteration frequency and daily urinary elimination of iodine were inverse...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1975-10-17 00:00:00
abstract::In recent years there has been a distinct decline in the total number of operations for ulcers while the number performed for ulcerous complications has remained more or less constant. Hesitation between medical and surgical treatment most frequently arises in the case of bleeding especially when the patient is elderl...
journal_title:Minerva medica
pub_type: 杂志文章
doi:
更新日期:1986-05-07 00:00:00