# Treatment Summary for Eosinophilic Esophagitis Based on reviewer feedback, the EoE treatment landscape includes dietary approaches (allergen avoidance, 6-food and 1-2 food elimination diets) as first-line strategies to identify and remove food triggers, along with topical steroid medications (budesonide and fluticasone) that are swallowed to coat and reduce esophageal inflammation. Systemic options include omeprazole for acid-related symptoms and dupilumab, a biologic injection that can produce faster improvement but may face insurance hurdles. Esophageal dilation is reserved for managing strictures caused by chronic inflammation but does not address underlying disease. Reviewers emphasize that identifying specific food triggers may eliminate the need for other treatments, making dietary investigation central to EoE management.