Year 2024 / Volume 116 / Number 5
Letter
Increased incidence of eosinophilic esophagitis among the child population of Zaragoza. An emerging disease

288-289

DOI: 10.17235/reed.2023.9701/2023

Pablo Escribano Sanz, Ruth García Romero, Ignacio Ros Arnal, Eduardo Ubalde Sainz, Rafaela María Úbeda Trujillo, Sara Bureba Herrando, Laura Escartín Madurga, Gerardo Rodríguez Martínez,

Abstract
Eosinophilic esophagitis is a chronic inflammatory disease characterized by esophageal dysfunction and progression to fibrosis. Its incidence is increasing in our setting with deep regional variations. To corroborate this hypothesis, a longitudinal, retrospective, multicenter observational study was carried out of patients who received a diagnosis of eosinophilic esophagitis from 2008 to 2022 at public hospitals in the province of Zaragoza. The annual incidence rates and mean incidence rate were calculated using the data for the reference population. A total of 104 patients were included. The mean incidence rate was 5.1 cases per 100,000 inhabitants < 15 years old/year (0.75-11.2). In the first five-year period (2008-2012) the rate was 1.2 cases per 100,000 inhabitants/year, compared with a rate of 6 cases per 100,000 inhabitants/year in the second 5-year period (2013-2017), [OR 5,68 (IC 95% 2,55 – 12,67, p < 0,05]; and 8.1 cases per 100,000 inhabitants/year in the third five-year period (2018-2022), [OR 7,74 (IC 95% 3,52 – 16,99, p < 0,05] It is concluded that eosinophilic esophagitis incidence has increased among the child population of Zaragoza over the past 15 years, with a 7-fold higher risk of having the condition in the third five-year period compared with the first one.
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References
1.Hirano I, Chan ES, Rank MA, Sharaf RN, Stollman NH, Stukus DR, et al. AGA Institute and the Joint Task Force on Allergy-Immunology Practice Parameters Clinical Guidelines for the Management of Eosinophilic Esophagitis. Gastroenterology. 2020 May;158(6):1776-1786
2. Lucendo AJ, Molina-Infante J, Arias Á, von Arnim U, Bredenoord AJ, Bussmann C, et al. Guidelines on eosinophilic esophagitis: evidence-based statements and recommendations for diagnosis and management in children and adults. United European Gastroenterol J. 2017;5(3):335-358
3. Soon IS, Butzner JD, Kaplan GG, deBruyn JC. Incidence and prevalence of eosinophilic esophagitis in children. J Pediatr Gastroenterol Nutr. 2013 Jul;57(1):72-80.
4. Instituto Aragonés de Estadística: https://www.aragon.es/-/piramides-de-poblacion.-aragon [consultado el 03/04/2023]
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Escribano Sanz P, García Romero R, Ros Arnal I, Ubalde Sainz E, Úbeda Trujillo R, Bureba Herrando S, et all. Increased incidence of eosinophilic esophagitis among the child population of Zaragoza. An emerging disease. 9701/2023


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Publication history

Received: 01/05/2023

Accepted: 08/05/2023

Online First: 14/06/2023

Published: 09/05/2024

Article Online First time: 44 days

Article editing time: 374 days


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