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Oral Viscous Budesonide: A Potential New Therapy for Eosinophilic Esophagitis in Children

Aceves, Seema S., Bastian, John F., Newbury, Robert O., Dohil, Ranjan·2007·The American Journal of Gastroenterology

Abstract

BACKGROUND: Eosinophilic esophagitis (EE) is a disorder characterized typically by pan-esophageal eosinophilia. We evaluate a palatable, long-acting topical corticosteroid preparation for the treatment of EE. STUDY DESIGN: This is a retrospective analysis of symptoms, endoscopic and histologic findings, efficacy, and safety of treatment in children with EE receiving oral viscous budesonide. Response to therapy was determined histologically by the number of eos/hpf. Patients were classified by histology into responders (0-7 eos/hpf), partial responders (8-23 eos/hpf), and nonresponders (>/=24 eos/hpf). A symptom score (max. 14) and an EE endoscopy score (max. 8) were used to compare data. RESULTS: In 20 children (mean age 5.5 yr, median age 4.1 yr) the mean highest eosinophil count was 87 eos/hpf (range 30-170) before and 7 eos/hpf (range 0-50, P < 0.0001) after therapy. There were 16 (80%) responders, 1 partial responder, and 3 nonresponders. Commonest pretreatment symptoms were nausea, vomiting, pain, and heartburn. The mean symptom score fell from 4.4 to 0.8 (P < 0.0001) and the mean endoscopy score from 3.6 to 0.8 (P < 0.0001). No significant adverse events were reported. Morning cortisol levels were within normal limits. CONCLUSIONS: Topical viscous budesonide is a safe and effective therapy for EE in young children.

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Metadata

Authors
Aceves, S. S., Bastian, J. F., Newbury, R. O., & Dohil, R.
Venue
The American Journal of Gastroenterology
Published
2007-10
Volume
102
Issue
10
Pages
2271-2279
ISSN
  • 0002-9270 (ISSN-L)
  • 1572-0241
OpenAlex
W2005052157
Cited by
245
References
2
FWCI
15.29
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Oral Viscous Budesonide: A Potential New Therapy for Eosinophilic Esophagitis in Children. https://app.cochat.ai/papers/10.1111/j.1572-0241.2007.01379.x
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Aceves, S. S., Bastian, J. F., Newbury, R. O., & Dohil, R. (2007). Oral Viscous Budesonide: A Potential New Therapy for Eosinophilic Esophagitis in Children. The American Journal of Gastroenterology. https://doi.org/10.1111/j.1572-0241.2007.01379.x

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.