Implementation of guidelines in eosinophilic esophagitis at an academic pediatric practice

Brendan R. Harris, Emily Hon, Sandeep K. Gupta

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Guidelines for eosinophilic esophagitis (EoE) require high-dose PPI (HD-PPI) trial to evaluate for PPI-responsive esophageal eosinophilia (PPI-REE) prior to EoE diagnosis and dedicated therapy. This involves a second esophagogastroduodenoscopy (EGD) to assess for PPI-REE. This study is to evaluate adherence to current guidelines in evaluation of PPI-REE and EoE. Retrospective review of new patients treated with HD-PPI after an index EGD showing >15 eos/hpf in esophageal biopsies. One hundred and eighty patients had an index EGD with esophageal eosinophilia of >15 eos/hpf. Of these, 97/180 (53.8%) received HD-PPI; remaining 83/180 were prescribed other interventions without a HD-PPI trial. Of the 180 patients, 143 (79.4%) patients returned for followup and of whom 96/143 (67.1%) underwent repeat EGD. Adherence to guidelines improves with time. Patients are vested in care.

Original languageEnglish (US)
Article numberdoy029
JournalDiseases of the Esophagus
Volume31
Issue number8
DOIs
StatePublished - Jan 1 2018

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Keywords

  • Diagnosis
  • Eosinophilic esophagitis
  • Guideline adherence
  • PPI-responsive esophageal eosinophilia
  • Practice guidelines

ASJC Scopus subject areas

  • Gastroenterology

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