Eosinophilic Esophagitis Dr. Pedro de María Pallarés
Specialist in diagnosis and treatment of eosinophilic esophagitis with advanced endoscopic techniques and multidisciplinary management
What is Eosinophilic Esophagitis?
Chronic Allergic Disease
Eosinophilic esophagitis (EoE) is a chronic allergic disease of the esophagus characterized by eosinophil infiltration in the esophageal mucosa, causing inflammation and specific digestive symptoms.
Immune Response
It occurs due to an abnormal immune response to certain foods or environmental allergens, leading to chronic inflammation that affects normal esophageal function.
Symptoms of Eosinophilic Esophagitis
Recognizing symptoms is key to early diagnosis
Dysphagia
Difficulty swallowing solid foods
Food Impaction
Food getting stuck in the esophagus
Chest Pain
Pain in the chest while eating
Regurgitation
Return of undigested food
Specialized Diagnosis
Gastroscopy with Biopsy
- Direct visualization of esophageal mucosa
- Multiple biopsy sampling
- Eosinophil count per field
Diagnostic Criteria
- ≥15 eosinophils per high-power field
- Symptoms of esophageal dysfunction
- Exclusion of other causes
Hospital Fuensanta and San Rafael - State-of-the-art endoscopic equipment
Request GastroscopyTreatment Options
Personalized multidisciplinary approach for each patient
Pharmacological Treatment
- Proton pump inhibitors
- Swallowed topical corticosteroids
- New biological treatments
Dietary Treatment
- Six-food elimination diet
- Identification of specific allergens
- Specialized nutritional follow-up
Endoscopic Treatment
- Esophageal dilation if stricture present
- Regular endoscopic follow-up
- Minimally invasive techniques
Multidisciplinary Management
Close coordination with allergology, endocrinology, and nutrition for comprehensive and personalized treatment of each case.
Specialized Consultation at INMEQ
Complete evaluation and personalized treatment plan for eosinophilic esophagitis
Location
INMEQ - Medical Surgical Institute
Calle Marcenado 49
28002 Madrid
Private Consultation
In-person or video call
Patient Experience
"After years of searching through different doctors, in different hospitals and clinics. Dr. de María Pallares, recommended by another gastroenterologist from Guadalajara, I had my diagnosis in 4 months and appropriate treatment for it. Exceeding my expectations by far after so much time going in circles. With a simple test this doctor found the key that others couldn't do in years. My quality of life thanks to him has improved 180 degrees. Thank you very much."
- Carmen M.
INMEQ Patient
Frequently Asked Questions about Eosinophilic Esophagitis
Is eosinophilic esophagitis the same as reflux?
No, although they may have similar symptoms, eosinophilic esophagitis is a chronic allergic disease different from gastroesophageal reflux. It requires specific diagnosis through biopsy and a different therapeutic approach.
How long does it take to see improvement with EoE treatment?
Symptomatic improvement may begin at 4-8 weeks of treatment, but complete histological remission may take 3-6 months. Endoscopic follow-up is essential to evaluate treatment response.
Is it necessary to follow a diet for life for eosinophilic esophagitis?
It depends on each case. Some patients need to avoid certain foods permanently, while others can gradually reintroduce them. The key is identifying the specific allergens for each patient.
What complications can EoE have without treatment?
Without treatment, eosinophilic esophagitis can progress to esophageal stricture, esophageal wall remodeling, and recurrent food impactions requiring urgent endoscopic intervention.
How often should I have endoscopic follow-up?
Generally, control gastroscopy is recommended at 3-6 months after starting treatment, and subsequently according to evolution. Follow-up allows treatment adjustment and early detection of complications.
Related Pages
More information about digestive disorders
Do You Suffer from Eosinophilic Esophagitis Symptoms?
Don't wait any longer. Early diagnosis and specialized treatment can significantly improve your quality of life
INMEQ - Calle Marcenado 49, 28002 Madrid