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) on this condition. Two previous consensus guideline statements, from sources other than the ACG, were published in 2007 and 2011. 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.
Medscape Gastroenterology © 2013
Cite this: Eosinophilic Esophagitis: New Guidelines - Medscape - Jul 08, 2013.