<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. Gastroenterol.]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572026000100036</article-id>
<article-id pub-id-type="doi">10.22516/25007440.1408</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Colombian Consensus on the Diagnosis and Management of Eosinophilic Esophagitis in the Pediatric Population: Treatment. Part 2]]></article-title>
<article-title xml:lang="es"><![CDATA[Consenso colombiano para el diagnóstico y tratamiento de la esofagitis eosinofílica en población pediátrica: el tratamiento. Parte 2]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera-Chamorro]]></surname>
<given-names><![CDATA[José Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zambrano-Pérez]]></surname>
<given-names><![CDATA[Carolina Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carias-Domínguez]]></surname>
<given-names><![CDATA[Ailim Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuera-Carrillo]]></surname>
<given-names><![CDATA[Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros-López]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Paba]]></surname>
<given-names><![CDATA[María Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña-Hernández]]></surname>
<given-names><![CDATA[Stephania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Sandoval]]></surname>
<given-names><![CDATA[Melquicedec]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juliao-Baños]]></surname>
<given-names><![CDATA[Fabián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Panqueva]]></surname>
<given-names><![CDATA[Rocío Del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Triana-Rodríguez]]></surname>
<given-names><![CDATA[Gustavo Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Piedrahita]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chinchilla-Mejía]]></surname>
<given-names><![CDATA[Carlos Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chapman-Ariza]]></surname>
<given-names><![CDATA[Edgardo Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero-Canasto]]></surname>
<given-names><![CDATA[Edna Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Guerrero]]></surname>
<given-names><![CDATA[Otto Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puerto-Baracaldo]]></surname>
<given-names><![CDATA[Danna Kathalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte-Montero]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[Mário César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubinstein]]></surname>
<given-names><![CDATA[Eitan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vila-Miravet]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amil-Dias]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de los Andes  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Fundación Hospital Pediátrico de la Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Hospital Pablo Tobón Uribe  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Universidad de los Andes  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Hospital Pablo Tobón Uribe  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A13">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A14">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A15">
<institution><![CDATA[,Fundación Hospital de la Misericordia HOMI  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A16">
<institution><![CDATA[,Quirónsalud Group  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A17">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A18">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A19">
<institution><![CDATA[,Hospital Pequeno Príncipe  ]]></institution>
<addr-line><![CDATA[Curitiba PR]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="A20">
<institution><![CDATA[,Harvard Medical School  ]]></institution>
<addr-line><![CDATA[Boston ]]></addr-line>
<country>United States</country>
</aff>
<aff id="A21">
<institution><![CDATA[,Hospital Sant Joan de Déu Barcelona  ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="A22">
<institution><![CDATA[,Hospital Lusíadas Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>36</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572026000100036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572026000100036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572026000100036&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease characterized by esophageal dysfunction, which may progress to fibrosis or stricture formation if left untreated.  Objective: To develop evidence-based recommendations through expert consensus for the treatment of EoE in patients under 18 years of age.  Methodology: A multidisciplinary panel of 16 experts from the Colegio Colombiano de Gastroenterología, Hepatología y Nutrición Pediátrica (COLGAHNP), including allergists, pathologists, adult gastroenterologists, and four international experts, formulated 18 questions (8 diagnostic and 10 therapeutic). A systematic literature search was conducted, analyzing clinical practice guidelines (CPGs), randomized controlled trials (RCTs), and systematic literature reviews (SLRs) from the past 10 years. A total of 27 recommendations (12 diagnostic and 15 therapeutic) were developed and subjected to two rounds of voting using a modified Delphi method. The study was sponsored by COLGAHNP.  Results: Consensus agreement exceeded 90% for all recommendations. Treatment should be individualized and multidisciplinary, led by pediatric gastroenterologists. Therapeutic strategies are based on an &#8220;upward&#8221; elimination diet approach, beginning with a single food, the use of proton pump inhibitors, topical corticosteroids, monoclonal antibodies, and, in selected cases, esophageal dilation. Follow-up should incorporate validated tools, such as PEEESv2. Patients should also be prepared for transition into adult care.  Conclusion: This consensus provides evidence-based treatment recommendations for EoE for patients, families, and healthcare payers within the Colombian and broader Latin American context.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La esofagitis eosinofílica (EoE) es una enfermedad crónica inmunomediada caracterizada por disfunción esofágica, que puede llevar a fibrosis o estenosis de no recibir tratamiento.  Objetivo:  Desarrollar recomendaciones basadas en la evidencia por un consenso de expertos para el tratamiento de la EoE en &lt;18 años.  Metodología:  Un panel multidisciplinario de 16 expertos del Colegio Colombiano de Gastroenterología, Hepatología y Nutrición Pediátrica (COLGAHNP), alergólogos, patólogos y gastroenterólogos de adultos, junto con cuatro expertos internacionales formularon 18 preguntas (8 de diagnóstico y 10 de tratamiento). Mediante una búsqueda de la literatura, se analizaron guías de práctica clínica (GPC), estudios clínicos aleatorizados (ECA) y revisiones sistemáticas de la literatura (RSL) de los últimos 10 años. Se desarrollaron 27 recomendaciones (12 de diagnóstico y 15 de tratamiento), que fueron sometidas a votación por el método Delphi modificado en dos votaciones. El estudio fue patrocinado por el COLGAHNP.  Resultados:  Las recomendaciones alcanzaron un acuerdo &gt;90%. El tratamiento debe ser individualizado y multidisciplinario, liderado por gastroenterólogos pediatras. El tratamiento se basa en dieta de eliminación &#8220;ascendente&#8221;, iniciando con un solo alimento, uso de inhibidores de la bomba de protones, esteroides tópicos, anticuerpos monoclonales y, en algunos casos, dilatación. En el seguimiento se deben usar herramientas validadas, como el PEEESv2. Se deben preparar a los pacientes para la transición a la edad adulta.  Conclusión:  Se proporciona un consenso con recomendaciones basadas en la evidencia sobre el tratamiento de la EoE para pacientes, familiares y aseguradores en el contexto colombiano y latinoamericano.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Eosinophilic esophagitis]]></kwd>
<kwd lng="en"><![CDATA[endoscopy]]></kwd>
<kwd lng="en"><![CDATA[biopsy]]></kwd>
<kwd lng="en"><![CDATA[dietary therapy]]></kwd>
<kwd lng="en"><![CDATA[proton pump inhibitors]]></kwd>
<kwd lng="en"><![CDATA[budesonide]]></kwd>
<kwd lng="en"><![CDATA[biologic agents]]></kwd>
<kwd lng="es"><![CDATA[Esofagitis eosinofílica]]></kwd>
<kwd lng="es"><![CDATA[endoscopia]]></kwd>
<kwd lng="es"><![CDATA[biopsia]]></kwd>
<kwd lng="es"><![CDATA[dietoterapia]]></kwd>
<kwd lng="es"><![CDATA[inhibidores de la bomba de protones]]></kwd>
<kwd lng="es"><![CDATA[budesonida]]></kwd>
<kwd lng="es"><![CDATA[medicamentos biológicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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