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Open Access Open Badges Original research

International Survey on Evaluation and Management of Eosinophilic Esophagitis

Christopher C Shaffer and Gisoo Ghaffari*

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World Allergy Organization Journal 2012, 5:95-102  doi:10.1097/WOX.0b013e3182690759

Published: 15 September 2012

Abstract (provisional)

Background

Recommendations regarding evaluation and management of eosinophilic esophagitis (EoE) remain incompletely defined. This survey assesses: how providers across the world diagnose, evaluate, and treat EoE and how educational activities affect management.

Methods

A web-based survey was sent to the members of World Allergy Organization, American College of Allergy, Asthma, and Immunology, and American Academy of Allergy, Asthma, and Immunology. A χ2 analysis compared responses based on personal and practice demographics and participation in educational activities.

Results

Of the 200 respondents, 68.5% were from the United States. The majority were allergists, who require biopsy to diagnose EoE, perform allergy testing, and obtain follow-up biopsy after treatment. The following variables had significant differences: (1) US practitioners were more likely to test for immediate-type hypersensitivity to foods and obtain follow-up endoscopic biopsies after the initial treatment; (2) Practitioners encountering patients with EoE more frequently were more likely to ask about personal and family history of atopy, test for immediate-type hypersensitivity to aeroallergens and foods, and recommend follow-up biopsy after treatment; and (3) Practitioners who participate more often in EoE workshops were more likely to perform patch testing for foods, while attendance at EoE lectures increased EoE management confidence.

Conclusions

Diagnostic and management strategies differ based on practice location, EoE patient load, and participation in educational activities. Practitioners who attend more EoE lectures are more confident managing EoE.

The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.