Eosinophilic Esophagitis: New Guidelines

David A. Johnson, MD


July 08, 2013

This feature requires the newest version of Flash. You can download it here.
In This Article

Exploring the New Guidelines

Hello. I am Dr. David Johnson, Professor of Medicine and Chief of Gastroenterology at Eastern Virginia Medical School. Welcome back to another installment of GI Common Concerns -- Computer Consult . In this series, I try to update and provide clinical guidance and practical information on a common or evolving topic of interest. Today's topic is eosinophilic esophagitis (EoE).

There has been an explosion of literature on this topic, including clinical reports and controversies about how to diagnose and manage EoE. I will use the backdrop of the most recently published guidelines from the American College of Gastroenterology (ACG)[1] on this condition. Two previous consensus guideline statements, from sources other than the ACG, were published in 2007[2] and 2011.[3] This is the ACG's first foray into guidelines for EoE.

The ACG guideline starts with a very complex problem: resolving the heterogeneity in definitions and endpoints for EoE. The guidelines contain very few strong recommendations, none of which have high levels of evidence. This should be kept in mind when reviewing the recommendations. I thought it would be helpful to synthesize the guidelines and highlight what is new on the topic of EoE.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.