Management of suspected and known eosinophilic esophagitis-a nationwide survey in Austria

Philipp Schreiner, Lorenz Balcar, Hansjörg Schlager, Christian Madl, Alexander Ziachehabi, Markus Mader, Karin Steidl, Patrick Dinkhauser, Simon Reider, Werner Dolak, Clemens Dejaco, Hans Peter Gröchenig, Gottfried Novacek

Research output: Journal article (peer-reviewed)Journal article

Abstract

Introduction: Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease of the esophagus with increasing incidence and dysphagia as the main symptom. The management of suspected or known EoE by Austrian endoscopists has not been investigated yet. Methods: A web-based survey with 13 questions about the management of EoE was sent to endoscopists via the Austrian Society of Gastroenterology and Hepatology (ÖGGH). Results: A total of 222 endoscopists (74% gastroenterologists, 23% surgeons, and 2% pediatricians; 68% working in a hospital) from all 9 states participated. In patients with dysphagia but a normal appearing esophagus, 85% of respondents reported always taking biopsies; however, surgeons were less likely to obtain biopsies compared to gastroenterologists (“always” 69% vs. 90%, “sometimes” 29% vs. 10%, “never” 2% vs. 0%, p < 0.001). The approved budesonide orodispersible tablet is the preferred first-line drug used in EoE, ahead of proton pump inhibitors (PPI). Only 65% of participants monitor the patients by endoscopy and histology after 12 weeks of induction therapy, 26% do not continue maintenance therapy, and 22% monitor patients only when symptomatic. Conclusion: The vast majority of Austrian endoscopists adhere to the European and US guidelines in cases of suspected EoE. In contrast, despite the chronic disease course, a significant percentage of providers indicate not to use maintenance therapy and monitor the patients routinely.

Original languageEnglish
Pages (from-to)406-413
Number of pages8
JournalWiener Klinische Wochenschrift
Volume135
Issue number15-16
Early online date18 Apr 2023
DOIs
Publication statusPublished - Aug 2023

Keywords

  • Dysphagia
  • Esophageal Disease
  • Esophageal Food Impaction
  • Inflammatory Bowel Disease
  • Swallowing Disorder

ASJC Scopus subject areas

  • General Medicine

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