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The adequate management of endoscopic procedures is particularly important for the diagnosis and evaluation of inflammatory activity and therapeutic responses. The therapeutic options for eosinophilic esophagitis include anti\u2010acid drugs such as proton pump inhibitors, potassium\u2010competitive acid blockers, swallowed topical corticosteroids, biologics, and dietary elimination therapies. Moreover, endoscopic esophageal dilation is a therapeutic option for fibrotic strictures due to eosinophilic esophagitis to improve obstructive symptoms, such as dysphagia and food impaction. In this review, we describe the endoscopic characteristics of eosinophilic esophagitis, including an endoscopic reference score and an optimal biopsy protocol to diagnose and evaluate the therapeutic response. We also describe a current therapeutic management of eosinophilic esophagitis.<\/jats:p>","DOI":"10.1002\/deo2.70063","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T10:34:49Z","timestamp":1737023689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic diagnosis and management of eosinophilic esophagitis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9186-1249","authenticated-orcid":false,"given":"Fumio","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Graduate School of Medicine Osaka Metropolitan University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinari","family":"Sawada","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Graduate School of Medicine Osaka Metropolitan University  Osaka 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