Are Topical Steroids Useful In Treating Children With Eosinophilico-Esophagitis?

Clinical Question Are topical steroids useful in treating children with Eosinophilicoesophagitis? Scenario A fifteen year old known asthmatic girl presents to A&E with recurrent episode of vomiting, history of chest pain and difficulty swallowing foods. She has strong history of atopy and has been prescribed oral aerosolised Fluticasone propionate for treatment of eosinophilicoesophagitis after attempts of failed exclusion diets. Being a teenager, there was lot of anxiety involved in using oral steroid due to issues with body image, growth impairment and other side effects. You wonder if topical steroid as an alternative is efficacious in treating eosinophilicoesophagitis.