Treatment of eosinophilic esophagitis is important because longstanding untreated disease will lead to complications such as strictures and food bolus impactions, both need to be solved with endoscopic treatment. The treatment goals are symptomatic and histological remission.
There are several first line treatments available: acid suppression with PPI, topical corticosteroids and elimination diets. The diets can be effective, but are extensive and hard to persist and require a substantial number of endoscopies to check treatment effects of dietary changes. Therefore, the PPIs and topical corticosteroids are more commonly used.