Eosinophilic Esophagitis
Conditions
Keywords
Eosinophilic esophagitis (EoE), GERD, esophageal motility
Brief summary
Esophageal Motility in eosinophilic esophagitis will be evaluated by High Resolution Manometry before and after medical treatment - motility is suspected to change/improve after therapy.
Detailed description
After identification of eosinophilic inflammation of the esophagus -\> differentiation between GERD and eosinophilic esophagitis (via pH/MII-measurements or PPI-trial) -\> High-resolution manometry (HRM) for evaluation of esophageal motility in patients with eosinophilic esophagitis (exclusion of GERD-patients)-\> initiation of budesonide-therapy -\> after eight weeks of therapy reevaluation of esophageal motility by HRM
Interventions
High resolution manometry of the esophagus
Sponsors
Study design
Eligibility
Inclusion criteria
• patients with eosinophilic inflammation of the esophagus
Exclusion criteria
* refusal to participate in study * pregnancy * eosinophilic gastroenteritis * Achalasia * contraindication for gastroscopy / HRM / 24-h-pH/Impedance-monitoring * contraindication for therapy with budesonide * eosinophilic inflammation due to GERD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of esophageal motility (IBP) measureable in high resolution manometry (HRM) | Two months | Average maximum intra-bolus-pressure (IBP) \[mmHg\] before and after therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of esophageal motility (e.g. specified in the chicago classification) represented in high resolution manometry (HRM) | Two months | weak peristalsis with small/large breaks, frequently failes peristalsis, absent peristalsis, hypertensive peristalsis, rapid contractions with normal latency, functional EGJ-obstruction, panesophageal pressurizations, compartimentalized pressurizations; |
| Endoscopic evaluation of inflammation before/after therapy | Two months | Endoscopic assessment of esophageal signs of eosinophilic esophagitis (white exsudates, furrows, edema, rings, crepe paper, stricture |
| Symptoms before/after therapy | Two months | Evaluation of symptoms via questionnaire before/after therapy |
Countries
Germany