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Article ; Online: Eosinophilic Gastrointestinal Disease.

Soni, Monica / Peterson, Kathryn A / Uchida, Amiko M

2024 Volume 331, Issue 16, Page(s) 1407–1408

MeSH term(s)	Humans ; Eosinophilia/diagnosis ; Enteritis ; Gastritis/complications ; Gastritis/diagnosis
Language	English
Publishing date	2024-03-25
Publishing country	United States
Document type	Patient Education Handout ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2024.2143
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Article ; Online: Editorial: Penetration of food protein through the oesophageal mucosa-is this where EoE starts?

Uchida, Amiko M / Dougan, Michael

Alimentary pharmacology & therapeutics

2021 Volume 53, Issue 3, Page(s) 447–448

MeSH term(s)	Animals ; Eosinophilic Esophagitis ; Esophageal Mucosa ; Glutens ; Humans ; Milk
Chemical Substances	Glutens (8002-80-0)
Language	English
Publishing date	2021-01-11
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	639012-2
ISSN	1365-2036 ; 0269-2813 ; 0953-0673
ISSN (online)	1365-2036
ISSN	0269-2813 ; 0953-0673
DOI	10.1111/apt.16205
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Article ; Online: Recent Advances in the Treatment of Eosinophilic Esophagitis.

Uchida, Amiko M / Burk, Caitlin M / Rothenberg, Marc E / Furuta, Glenn T / Spergel, Jonathan M

The journal of allergy and clinical immunology. In practice

2023 Volume 11, Issue 9, Page(s) 2654–2663

Abstract: Eosinophilic esophagitis is an increasingly common inflammatory allergic disease of the esophagus characterized by esophageal eosinophilia and symptoms of esophageal dysfunction. The therapeutic landscape has rapidly evolved for this emerging type 2 ... ...

Abstract	Eosinophilic esophagitis is an increasingly common inflammatory allergic disease of the esophagus characterized by esophageal eosinophilia and symptoms of esophageal dysfunction. The therapeutic landscape has rapidly evolved for this emerging type 2 inflammatory disorder. We review traditional therapies including updates and expert opinions in addition to promising therapies on the horizon and the history of therapies that failed to meet end points and highlight knowledge gaps for future investigations.
MeSH term(s)	Humans ; Eosinophilic Esophagitis/therapy ; Eosinophilic Esophagitis/diagnosis
Language	English
Publishing date	2023-06-28
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2843237-X
ISSN	2213-2201 ; 2213-2198
ISSN (online)	2213-2201
ISSN	2213-2198
DOI	10.1016/j.jaip.2023.06.035
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Article ; Online: An Unsuspected Cause of Rectal Bleeding.

Przybyszewski, Eric M / Deshpande, Vikram / Uchida, Amiko M

Gastroenterology

2020 Volume 160, Issue 4, Page(s) e1–e2

MeSH term(s)	Biopsy ; Gastrointestinal Hemorrhage/blood ; Gastrointestinal Hemorrhage/etiology ; Hemangiosarcoma/blood ; Hemangiosarcoma/complications ; Hemangiosarcoma/diagnosis ; Hemangiosarcoma/pathology ; Humans ; Liver/diagnostic imaging ; Liver/pathology ; Liver Neoplasms/blood ; Liver Neoplasms/complications ; Liver Neoplasms/diagnosis ; Liver Neoplasms/pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Rectum ; Tomography, X-Ray Computed
Language	English
Publishing date	2020-09-16
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	80112-4
ISSN	1528-0012 ; 0016-5085
ISSN (online)	1528-0012
ISSN	0016-5085
DOI	10.1053/j.gastro.2020.08.058
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Article ; Online: Prior hospital-based infection and risk of eosinophilic esophagitis in a Swedish nationwide case-control study.

Uchida, Amiko M / Ro, Gabrielle / Garber, John J / Roelstraete, Bjorn / Ludvigsson, Jonas F

United European gastroenterology journal

2022 Volume 10, Issue 9, Page(s) 999–1007

Abstract: Background and aims: Eosinophilic esophagitis (EoE) is an increasingly common, largely food allergen-driven disease characterized by dysphagia. Prior infections are known to associate with other loss of tolerance diseases such as autoimmunity. We aimed ... ...

Abstract	Background and aims: Eosinophilic esophagitis (EoE) is an increasingly common, largely food allergen-driven disease characterized by dysphagia. Prior infections are known to associate with other loss of tolerance diseases such as autoimmunity. We aimed to determine if antecedent infection was associated with later EoE development. Methods: We performed a case-control study of all patients with biopsy-verified EoE diagnosed between 2000 and 2017 in Sweden (n = 1587) and matched to 5 general population controls (n = 7660). Cases were identified using histopathology codes from the Epidemiology Strengthened by histopathology Reports in Sweden study, a validated cohort of gastrointestinal pathology reports from all 28 pathology centers in Sweden. We used logistic regression to estimate odds ratios (ORs) and 95% confidence intervals for antecedent infections from patients seen at hospital-based outpatient clinics or inpatients. In secondary analyses, we compared EoE patients with their full siblings to further reduce residual confounding. Results: 564 (35.7%) EoE patients and 1793 (23.4%) matched controls had an earlier record of infection. This corresponded to a 2-fold increased risk of infections in EoE patients (OR 2.01; 95%CI: 1.78-2.27). ORs for earlier gastrointestinal or respiratory infection were 2.73 (n = 128 EoE, 268 control; 95%CI: 2.17-3.41) and 1.89 (n = 305 EoE, 960 control; 95%CI: 1.63-2.20), respectively. Having an EoE diagnosis was linked to a 3.39-fold increased odds of sepsis (n = 14 EoE, 21 control; 95%CI: 1.68-6.65). Individuals with EoE were also more likely to have had an infection compared to their non-EoE siblings (n = 427 EoE, 593 control; OR = 1.57; 95%CI = 1.30-1.89). Conclusion: In this nationwide cohort study, prior infection, was associated with subsequent EoE. Risks were particularly high after sepsis, and gastrointestinal or respiratory infections.
MeSH term(s)	Humans ; Case-Control Studies ; Cohort Studies ; Hospitals ; Sweden/epidemiology
Language	English
Publishing date	2022-10-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2728585-6
ISSN	2050-6414 ; 2050-6406
ISSN (online)	2050-6414
ISSN	2050-6406
DOI	10.1002/ueg2.12324
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Article ; Online: Models and Tools for Investigating Eosinophilic Esophagitis at the Bench.

Uchida, Amiko M / Ro, Gabrielle / Garber, John J / Peterson, Kathryn A / Round, June L

Frontiers in immunology

2022 Volume 13, Page(s) 943518

Abstract: Eosinophilic esophagitis (EoE) is an increasingly common food allergy disease of the esophagus that received its medical designation code in 2008. Despite this recency, great strides have been made in the understanding of EoE pathophysiology and type 2 ... ...

Abstract	Eosinophilic esophagitis (EoE) is an increasingly common food allergy disease of the esophagus that received its medical designation code in 2008. Despite this recency, great strides have been made in the understanding of EoE pathophysiology and type 2 immunity through basic and translational scientific investigations conducted at the bench. These advances have been critical to our understanding of disease mechanisms and generating new hypotheses, however, there currently is only one very recently approved FDA-approved therapy for EoE, leaving a great deal to be uncovered for patients with this disease. Here we review some of the innovative methods, models and tools that have contributed to the advances in EoE discovery and suggest future directions of investigation to expand upon this foundation.
MeSH term(s)	Allergens ; Eosinophilic Esophagitis/diagnosis ; Eosinophilic Esophagitis/etiology ; Eosinophilic Esophagitis/therapy ; Food ; Food Hypersensitivity/diagnosis ; Food Hypersensitivity/therapy ; Humans
Chemical Substances	Allergens
Language	English
Publishing date	2022-07-06
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2022.943518
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Article ; Online: Pregnancy Outcomes in Females with Eosinophilic Esophagitis: A Nationwide Population-Based Study.

Röjler, Lovisa / Uchida, Amiko M / Garber, John J / Stephansson, Olof / Söderling, Jonas / Roelstraete, Bjorn / Ludvigsson, Jonas F

Inflammatory intestinal diseases

2023 Volume 8, Issue 4, Page(s) 143–152

Abstract: Introduction: Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus. It has a peak incidence in the 2nd and 3rd decades of life. Despite this, little is known about pregnancy outcomes in patients with EoE.: ... ...

Abstract	Introduction: Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus. It has a peak incidence in the 2nd and 3rd decades of life. Despite this, little is known about pregnancy outcomes in patients with EoE. Methods: Using a validated histopathologic and nationwide population-based cohort for the diagnosis of EoE, we examined maternal and fetal outcomes, with preterm birth as the primary outcome, in females with EoE compared to matched controls. Odds ratios (ORs) were calculated using logistic regression. Results: Between 1992 and 2016, we identified 19 females with EoE who gave birth to 23 children (reference births: Discussion/conclusion: Overall in this nationwide cohort study, we did not find increased association of preterm birth in patients with EoE.
Language	English
Publishing date	2023-10-05
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2817967-5
ISSN	2296-9365 ; 2296-9365
ISSN (online)	2296-9365
ISSN	2296-9365
DOI	10.1159/000534412
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Article ; Online: Eosinophilic esophagitis is associated with increased risk of later inflammatory bowel disease in a nationwide Swedish population cohort.

Uchida, Amiko M / Garber, John J / Pyne, Ashley / Peterson, Kathryn / Roelstraete, Bjorn / Olén, Ola / Halfvarson, Jonas / Ludvigsson, Jonas F

United European gastroenterology journal

2023 Volume 12, Issue 1, Page(s) 34–43

Abstract: Background: Earlier studies on the possible association between eosinophilic esophagitis (EoE) and inflammatory bowel disease (IBD) have been contradictory.: Methods: Patients with biopsy-verified EoE diagnosed between 1990 and 2017 in Sweden (n = ... ...

Abstract	Background: Earlier studies on the possible association between eosinophilic esophagitis (EoE) and inflammatory bowel disease (IBD) have been contradictory. Methods: Patients with biopsy-verified EoE diagnosed between 1990 and 2017 in Sweden (n = 1587) were age- and sex-matched with up to five general population reference individuals (n = 7808). EoE was defined using pathology reports from all 28 pathology centers in Sweden (the ESPRESSO study). Multivariate Cox regression then estimated hazard ratios for future IBD. IBD was defined based on the international classification of disease codes and histopathology codes. In secondary analyses, sibling comparators were used to further reduce potential familial confounding. Additionally, we performed logistic regression examining earlier IBD in EoE. Results: During follow-up until 2020, 16 (0.01%) EoE patients and 21 (0.003%) general population reference individuals diagnosed with IBD, corresponding to a 3.5-fold increased risk of future IBD (aHR = 3.56; 95% CI 1.79-7.11). EoE was linked to Crohn's disease (aHR = 3.39 [95% CI 1.02-9.60]) but not to ulcerative colitis (aHR = 1.37; 95% CI 0.38-4.86). Compared to their siblings, patients with EoE were at a 2.48-fold increased risk of IBD (aHR = 2.48; 95% CI 0.92-6.70). Earlier IBD was 15 times more likely in EoE patients than in matched reference individuals (odds ratio, 15.39; 95% CI 7.68-33.59). Conclusion: In this nationwide cohort study, EoE was associated with a 3.5-fold increased risk of later IBD diagnosis. This risk increase may be due to shared genetic or early environmental risk factors, but also surveillance bias could play a role.
MeSH term(s)	Humans ; Sweden/epidemiology ; Cohort Studies ; Eosinophilic Esophagitis/epidemiology ; Inflammatory Bowel Diseases/epidemiology ; Crohn Disease/diagnosis ; Crohn Disease/epidemiology
Language	English
Publishing date	2023-12-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2728585-6
ISSN	2050-6414 ; 2050-6406
ISSN (online)	2050-6414
ISSN	2050-6406
DOI	10.1002/ueg2.12493
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Article ; Online: Reply.

Spechler, Stuart J / Reddy, Chanakyaram A / Allen-Brady, Kristina / Uchida, Amiko M / Peterson, Kathryn A / Hoffman, Alessandrina M / Souza, Rhonda F

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

2023 Volume 22, Issue 5, Page(s) 1145

MeSH term(s)	Humans
Language	English
Publishing date	2023-10-05
Publishing country	United States
Document type	Letter
ZDB-ID	2119789-1
ISSN	1542-7714 ; 1542-3565
ISSN (online)	1542-7714
ISSN	1542-3565
DOI	10.1016/j.cgh.2023.09.026
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Article ; Online: Achalasia is Strongly Associated With Eosinophilic Esophagitis and Other Allergic Disorders.

Reddy, Chanakyaram A / Allen-Brady, Kristina / Uchida, Amiko M / Peterson, Kathryn A / Hoffman, Alessandrina M / Souza, Rhonda F / Spechler, Stuart J

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

2023 Volume 22, Issue 1, Page(s) 34–41.e2

Abstract: Background & aims: Achalasia has been assumed to be an autoimmune disease targeting esophageal myenteric neurons. Recently, we proposed an alternative hypothesis that achalasia sometimes might be allergy-driven, caused by a form of eosinophilic ... ...

Abstract	Background & aims: Achalasia has been assumed to be an autoimmune disease targeting esophageal myenteric neurons. Recently, we proposed an alternative hypothesis that achalasia sometimes might be allergy-driven, caused by a form of eosinophilic esophagitis (EoE) in which activated eosinophils and/or mast cells infiltrating esophageal muscle release products that disrupt motility and damage myenteric neurons. To seek epidemiologic support for this hypothesis, we identified patients with achalasia in the Utah Population Database, and explored their frequency of having EoE and other allergic disorders. Methods: We used International Classification of Diseases codes to identify patients with achalasia and allergic disorders including EoE, asthma, atopic dermatitis, contact dermatitis, allergic rhinitis, allergic conjunctivitis, hives/urticaria, and anaphylaxis. We calculated relative risk (RR) for each allergic disorder by comparing the number observed in patients with achalasia with the expected number in individuals matched for birthyear and sex, and we performed subanalyses for patients age ≤40 versus age >40 years. Results: Among 844 patients with achalasia identified (55% female; median age at diagnosis, 58 years), 402 (47.6%) had ≥1 allergic disorder. Fifty-five patients with achalasia (6.5%) had EoE (1.67 EoE cases expected), for a RR of 32.9 (95% confidence interval, 24.8-42.8; P < .001). In 208 patients with achalasia age ≤40 years, the RR for EoE was 69.6 (95% confidence interval, 46.6-100.0; P < .001). RR also was increased significantly for all other allergic disorders evaluated (all greater than 3-fold higher than population rates). Conclusions: Achalasia is strongly associated with EoE and other allergic disorders. These data support the hypothesis that achalasia sometimes might have an allergic etiology.
MeSH term(s)	Humans ; Female ; Middle Aged ; Adult ; Male ; Eosinophilic Esophagitis/complications ; Eosinophilic Esophagitis/epidemiology ; Eosinophilic Esophagitis/diagnosis ; Esophageal Achalasia/complications ; Esophageal Achalasia/epidemiology ; Asthma/complications ; Eosinophils
Language	English
Publishing date	2023-06-28
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2119789-1
ISSN	1542-7714 ; 1542-3565
ISSN (online)	1542-7714
ISSN	1542-3565
DOI	10.1016/j.cgh.2023.06.013
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