RT Journal Article
SR Electronic
T1 British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) joint consensus guidelines on the diagnosis and management of eosinophilic oesophagitis in children and adults
JF Gut
JO Gut
FD BMJ Publishing Group Ltd and British Society of Gastroenterology
SP 1459
OP 1487
DO 10.1136/gutjnl-2022-327326
VO 71
IS 8
A1 Anjan Dhar
A1 Hasan N Haboubi
A1 Stephen E Attwood
A1 Marcus K H Auth
A1 Jason M Dunn
A1 Rami Sweis
A1 Danielle Morris
A1 Jenny Epstein
A1 Marco R Novelli
A1 Hannah Hunter
A1 Amanda Cordell
A1 Sharon Hall
A1 Jamal O Hayat
A1 Kapil Kapur
A1 Andrew Robert Moore
A1 Carol Read
A1 Sarmed S Sami
A1 Paul J Turner
A1 Nigel J Trudgill
YR 2022
UL http://gut.bmj.com/content/71/8/1459.abstract
AB Background Eosinophilic oesophagitis (EoE) is an increasingly common cause of dysphagia in both children and adults, as well as one of the most prevalent oesophageal diseases with a significant impact on physical health and quality of life. We have provided a single comprehensive guideline for both paediatric and adult gastroenterologists on current best practice for the evaluation and management of EoE.Methods The Oesophageal Section of the British Society of Gastroenterology was commissioned by the Clinical Standards Service Committee to develop these guidelines. The Guideline Development Group included adult and paediatric gastroenterologists, surgeons, dietitians, allergists, pathologists and patient representatives. The Population, Intervention, Comparator and Outcomes process was used to generate questions for a systematic review of the evidence. Published evidence was reviewed and updated to June 2021. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to assess the evidence and make recommendations. Two rounds of voting were held to assess the level of agreement and the strength of recommendations, with 80% consensus required for acceptance.Results Fifty-seven statements on EoE presentation, diagnosis, investigation, management and complications were produced with further statements created on areas for future research.Conclusions These comprehensive adult and paediatric guidelines of the British Society of Gastroenterology and British Society of Paediatric Gastroenterology, Hepatology and Nutrition are based on evidence and expert consensus from a multidisciplinary group of healthcare professionals, including patient advocates and patient support groups, to help clinicians with the management patients with EoE and its complications.