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Only minor side effects were reported hyperphagia (10/2; weight gain (5/2; hyperactivity (2/2 and acne (1/2. Esophageal dilation was required in 3/20 patients during a median follow-up of 48.5 months (IQR 26.7-73.2). Children with EoE and esophageal strictures, may benefit from the use of a short course of systemic steroids, avoiding mechanical dilation. Children with EoE and esophageal strictures, may benefit from the use of a short course of systemic steroids, avoiding mechanical dilation. Perforator flaps yield the best resul