Pediatric Eosinophilic Esophagitis Symptom Score (PEESS) in the management of eosinophilic esophagitis in children: A narrative review of the literature

Key Points

• Evaluate the effectiveness of Pediatric Eosinophilic Esophagitis Symptom Score in managing eosinophilic esophagitis in children.
• Review of existing literature regarding PEESS and its application in clinical settings.
• Assessment of the specificity and threshold issues surrounding PEESS.
• Analysis of the role of endoscopic follow-up and biopsy in monitoring EoE.
• PEESS is useful for diagnosis and follow-up of pediatric eosinophilic esophagitis.
• It lacks specificity and no established threshold exists for its use.
• Emphasis on the necessity of endoscopic follow-up and biopsy for effective monitoring despite invasiveness.