{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:02:40Z","timestamp":1777928560360,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy, Immunology, and Pulmonology"],"published-print":{"date-parts":[[2024,9]]},"abstract":"\n A 16-year-old Caucasian male with previously diagnosed eosinophilic esophagitis (EoE) 4 years before his initial visit to an allergist-immunologist, scheduled due to severe dysphagia and recurrent food impaction. He had been off EoE therapy for 1 year. After resuming inhaled fluticasone and a proton pump inhibitor (PPI), esophagogastroduodenoscopy (EGD) was immediately scheduled. The dates of the original EGD procedures with the histological summary and EoE therapy are reported in the\n Table 1<\/jats:xref>\n . The fourth endoscopy revealed near normal histology, with rare candida staining (\n Table 1<\/jats:xref>\n ). He was continued on daily PPI and the fluticasone was discontinued. Three weeks of Fluconazole failed to resolve his dysphagia. A repeat barium swallow confirmed a pre-existing cricopharyngeal bar, and he was referred to an otolaryngology for further care.\n <\/jats:p>\n \n \n Table 1.<\/jats:label>\n \n \n <\/jats:caption>\n \n \n \n \n \n \n \n <\/jats:colgroup>\n \n \n Date<\/jats:th>\n Proximal eosinophils\/HPF<\/jats:th>\n Mid eosinophils\/HPF<\/jats:th>\n Distal eosinophils\/HPF<\/jats:th>\n Therapy<\/jats:th>\n <\/jats:tr>\n <\/jats:thead>\n \n \n 2019 (first)<\/jats:td>\n 30<\/jats:td>\n 30<\/jats:td>\n 15<\/jats:td>\n None<\/jats:td>\n <\/jats:tr>\n \n 2019 (second)<\/jats:td>\n 70<\/jats:td>\n 60<\/jats:td>\n 100<\/jats:td>\n PPI<\/jats:td>\n <\/jats:tr>\n \n 2019 (third)<\/jats:td>\n 80<\/jats:td>\n 100<\/jats:td>\n 100<\/jats:td>\n Swallowed budesonide 1 mg BID + PPI<\/jats:td>\n <\/jats:tr>\n \n 2023 (fourth)<\/jats:td>\n 3<\/jats:td>\n N\/D<\/jats:td>\n 5<\/jats:td>\n PPI + 220 \u00b5g of Fluticasone<\/jats:td>\n <\/jats:tr>\n <\/jats:tbody>\n <\/jats:table>\n \n \n PPI, proton pump inhibitor.<\/jats:p>\n <\/jats:fn>\n <\/jats:table-wrap-foot>\n <\/jats:table-wrap>\n <\/jats:p>","DOI":"10.1089\/ped.2024.0019","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T16:31:57Z","timestamp":1726677117000},"page":"81-83","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Cricopharyngeal Bar as an Underrecognized Finding in an Adolescent with Eosinophilic Esophagitis"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3931-4237","authenticated-orcid":false,"given":"Russell J.","family":"Hopp","sequence":"first","affiliation":[{"name":"University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center Omaha, Omaha, Nebraska, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Huang","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center Omaha, Omaha, Nebraska, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2022.43.210084"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/17562848211068665"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.02.038"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.71"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0b013e328352b5ef"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PG9.0000000000000136"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2205982"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doaa105"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","first-page":"6678918","DOI":"10.1155\/2023\/6678918","article-title":"Asymptomatic esophageal eosinophilia in an 11-Year-Old with severe persistent asthma","volume":"2023","author":"Hofstaedter CE","year":"2023","unstructured":"Hofstaedter CE, , Watkins R, , Kotwal N. 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Gastroenterol Hepatol (N Y), 2011; 7(8):540.","journal-title":"Gastroenterol Hepatol (N Y)"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195512292532607"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12363"},{"issue":"3","key":"e_1_3_3_18_2","first-page":"e36663","article-title":"Novel Per-Oral Cricopharyngotomy for Cricopharyngeal Bar: Feasibility Study with emphasis on technical limitations","volume":"15","author":"Pittala K","year":"2023","unstructured":"Pittala K, , Reinhart N, , Sujka JA, et al. Novel Per-Oral Cricopharyngotomy for Cricopharyngeal Bar: Feasibility Study with emphasis on technical limitations. 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