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Since its first description in the 1990s, the incidence and prevalence of EoE have been on the rise. It is known to affect all ages of various ethnic backgrounds and both sexes; however, it is most seen in White males. Children with EoE often present with abdominal pain, nausea, vomiting, and failure to thrive, whereas adults with EoE typically present with dysphagia and food impaction. Diagnosis of EoE requires histologic confirmation of elevated esophageal eosinophils in a symptomatic patient, and only after secondary causes have been excluded. Because EoE is a chronic and progressively fibrostenotic disease, treatment goals include resolution of symptoms, induction and maintenance of disease remission, and prevention and possibly reversal of fibrostenotic complications, while minimizing treatment\u2010related adverse effects and improving quality of life. Treatment strategies include the \u201c3 D's\u201d\u2014drugs, diet, and dilation. Standard drug therapies include proton\u2010pump inhibitors and topical corticosteroids. Dietary therapies include elemental diet, allergy testing\u2013directed elimination diet, and empiric elimination diets. Endoscopic esophageal dilation for EoE strictures can alleviate esophageal symptoms but has no effect on mucosal inflammation. Recent progress in EoE research has made possible evidence\u2010based clinical guidelines. Ongoing pharmacologic trials show promise for novel biologic agents in the treatment of refractory EoE.<\/jats:p>","DOI":"10.1002\/ncp.10571","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T10:35:09Z","timestamp":1598006109000},"page":"835-847","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Management of Eosinophilic Esophagitis: Dietary and Nondietary Approaches"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9425-3209","authenticated-orcid":false,"given":"Joan W.","family":"Chen","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine University of Michigan  Ann Arbor Michigan 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