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Volume 8 Journal of Gastrointestinal & Digestive System Gastro Meet 2018
August 06-07, 2018
Page 40
conferenceseries.com
August 06-07, 2018 Abu Dhabi, UAE
Gastroenterology and Digestive
Disorders
16th International Conference on
Eosinophilic esophagitis
It’s believed that the prevalence of atopic disorders is increasing worldwide. Gastrointestinal allergic disorders are no
stranger to this phenomenon. Over the last two decades a new disease was described called eosinophilic esophagitis which
simply means an allergic inflammatory reaction in the esophagus. This could be related to ingested or possibly inhaled
allergens. Typically these young children present with difficulty in swallowing and dysphagia and frequently with food
impaction with regular food. They have functional obstruction rather than at anatomical obstruction. During endoscopy
an abnormal esophageal mucosa can be noted sometimes with some white spots indicated some eosinophilic abscesses,
linear furrows and during formation of the esophagus. Biopsy should be taken to confirm the diagnosis which normally
shows increased number of eosinophils. A cutoff point is described to be more than 15 eosinophils per high-power field.
Typically these patients they don’t have eosinophilic infiltrates in other parts of the gastrointestinal system. The mainstay of
treatment is elemental diet avoiding the commonest food allergies that includes milk, eggs, wheat, soy, nuts and seafood. In
the Middle East allergy to sesame seems to be another common allergen. Also these patients that will require “swallowed
topical steroid” in addition to a proton pump inhibitor. Unfortunately this is a chronic disorder and these patients need to be
in diet for a long period of time with the above medications. Dilatation if required can be associated with higher increased
risk of perforation.
Biography
Mohamad Miqdady is American Board certified in Pediatric Gastroenterology, Hepatology and Nutrition. He is the Division Chief, Ped. GI, Hepatology & Nutrition
Division at Sheikh Khalifa Medical City in UAE. Also an Adjunct Staff at Cleveland Clinic, Ohio USA. Member of the FISPGHAN Council (Federation of International
Societies of Pediatric Gastruenterology Hepatology, and Nutrition) Expert member FISPGHAN Malnutrition/Obesity Expert team. Dr. Miqdady completed his
Fellowship in Pediatric Gastroenterology at Baylor College of Medicine and Texas Children’s Hospital in Houston, TX, USA. He held the position of Assistant
Professor at Jordan University of Science and Technology in Jordan for six years prior joining SKMC. Main research interests include feeding difficulties, picky
eating, obesity, procedural sedation, allergic GI disorders and celiac disease. He has several publications and authored few book chapters including www.uptodate.
com. On the Editorial Board of few journals including Gastroenterology & Hepatology.
Mohamad Miqdady
Sheikh Khalifa Medical City, UAE
Mohamad Miqdady, J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C3-069