EoE Flashcards
(17 cards)
Recommend EoE diagnosed w/ symptoms and at least 15 eos/hpf
strong, low evidence
Recommend using systematic scoring system to characterize EoE endoscopy findings
strong, low evidence
Recommend obtaining at least 6 biopsies from at least 2 esophageal levels (ie: proximal, mid, distal) targeting EoE findings
strong, low evidence
Recommend eosinophil counts on biopsies from every endoscopy performed for EoE
strong, low evidence
Suggest PPIs to treat EoE
conditional, low evidence
Recommend use of swallowed topical steroids
strong, moderate evidence
Suggest either fluticasone propionate or budesonide
conditional, low evidence
Suggest empiric food elimination diet as treatment for EoE
conditional, low evidence
Do NOT suggest allergy testing to direct eliminations diets for EoE
conditional, very low evidence
Suggest dupilumab as a treatment for EoE in patients 12 or older who are non responsive to PPI therapy
conditional, moderate evidence
Suggest dupilumab as a treatment for EoE in patients 1-11 yo who are non responsive to PPI therapy
conditional, low evidence
Can’t make a recommendation for or against cendakimab, benralizumab, lirentelimab, mepolizumab, or reslizumab as treatment for EoE
N/A
Suggest against cromolyn and montelukast
conditional, very low evidence
Suggest the use of endoscopic dilation as an adjunct to therapy for strictures causes dysphagia in EoE patients
conditional, low evidence
Suggest continuation of effective dietary or pharmacologic therapy to prevent recurrence
strong, low evidence
Recommend evaluating response to treatment w/ assessment of symptomatic, endoscopic, and histologic outcomes
strong, low evidence
Suggest esophageal for evaluation of fibrostenotic disease in children w/ EoE and dysphagia
conditional, very low evidence