Table 3.
All Respondents (n= 72) | Academic GI (n= 34) | Community GI (n=38) | p-value * | |
---|---|---|---|---|
Do you put biopsies from different locations in different pathology jars: (% yes) | 65% | 79% | 53% | 0.02 |
From where in the esophagus do you take biopsies: | ||||
Proximal + Middle + Distal (%) | 44% | 47% | 42% | NS |
Proximal + Distal (%) | 33% | 44% | 24% | NS |
Middle + Distal (%) | 14% | 6% | 21% | NS |
Proximal + Middle (%) | 4% | 3% | 5% | NS |
Middle only (%) | 4% | 0% | 8% | NS |
Do you require that a patient is on a PPI prior to making the diagnosis of EoE: (% yes) | 31% | 44% | 18% | 0.02 |
If yes, do you use once daily or twice daily dosing? | ||||
Once daily | 45% | 53% | 29% | NS |
Twice daily | 55% | 47% | 71% | NS |
If yes, what is the duration of treatment? | ||||
Range (weeks) | 4 –12 | 4 –8 | 4 –12 | |
Mean ± s.d. | 6 ± 2 | 6 ± 2 | 6 ± 3 | NS |
Which of the following do you require to make the diagnosis of EoE: | ||||
Positive biopsy only | 15% | 9% | 21% | NS |
Consistent symptoms only | 0% | 0% | 0% | NS |
Consistent symptoms + Positive biopsy | 19% | 24% | 16% | NS |
Positive endoscopy findings + Positive biopsy | 10% | 3% | 16% | NS |
Consistent symptoms + Positive Biopsy + One of the following: No clinical response to a PPI, No histologic response to a PPI, and/or Negative pH testing** | 13% | 24% | 3% | 0.007 |
Consistent symptoms + Positive endoscopy findings + Positive biopsy + One of the following: No clinical response to a PPI, No histologic response to a PPI, and/or Negative pH testing | 15% | 15% | 16% | NS |
Consistent symptoms + Positive endoscopy findings + Positive biopsy | 26% | 27% | 26% | NS |
EoE, eosinophilic esophagitis; GI, gastroenterologist; NS, not significant
Comparison between academic and community GI performed with 2 sample t-test, Pearson’s chi-square test or Fisher’s Exact Test
EoE Consensus Guidelines