Practice patterns for the evaluation and treatment of eosinophilic oesophagitis.

Abstract:

BACKGROUND:Although consensus guidelines for eosinophilic oesophagitis have been published, it remains unclear whether gastroenterologists follow these recommendations. AIM:To assess academic and community practice patterns for the evaluation and treatment of eosinophilic oesophagitis and to compare these practices with current guidelines. METHODS:This was a prospective study of academic and community gastroenterologists using a self-administered online survey. RESULTS:A total of 60% (34 of 57) of academic and 29% (38 of 133) of community gastroenterologists completed the survey. Only 24% of academic and 3% of community gastroenterologists follow consensus guidelines to diagnose eosinophilic oesophagitis (P = 0.007). A proton pump inhibitor trial or negative pH study prior to diagnosis was required by just 25% of all gastroenterologists. A majority (60%) do not use the recommended threshold of 15 eosinophils per high powered field to diagnosis eosinophilic oesophagitis. Half (51%) mistakenly require a positive endoscopic finding. For first-line treatment, about half of the gastroenterologists surveyed treat with a swallowed topical steroid (53% academic, 56% community; P = N.S.), consistent with the guidelines. CONCLUSIONS:There is variability in practice patterns for both diagnosis and treatment of eosinophilic oesophagitis. Ongoing education and research concerning diagnosis and treatment are needed.

journal_name

Aliment Pharmacol Ther

authors

Peery AF,Shaheen NJ,Dellon ES

doi

10.1111/j.1365-2036.2010.04476.x

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

1373-82

issue

11-12

eissn

0269-2813

issn

1365-2036

journal_volume

32

pub_type

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