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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

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Title: 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
Authors: Dhar, A
Haboubi, HN
Attwood, SE
Auth, MKH
Dunn, JM
Sweis, R
Morris, D
Epstein, J
Novelli, MR
Hunter, H
Cordell, A
Hall, S
Hayat, JO
Kapur, K
Moore, AR
Read, C
Sami, SS
Turner, PJ
Trudgill, NJ
Item Type: Journal Article
Abstract: 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.
Issue Date: 7-Jul-2022
Date of Acceptance: 12-May-2022
URI: http://hdl.handle.net/10044/1/97473
DOI: 10.1136/gutjnl-2022-327326
ISSN: 0017-5749
Publisher: BMJ Publishing Group
Start Page: 1459
End Page: 1487
Journal / Book Title: Gut
Volume: 71
Copyright Statement: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Keywords: Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
DYSPHAGIA
DIET
ENDOSCOPY
OESOPHAGEAL DISEASE
PAEDIATRIC GASTROENTEROLOGY
HIGH-RESOLUTION MANOMETRY
GASTROESOPHAGEAL-REFLUX DISEASE
QUALITY-OF-LIFE
6-FOOD ELIMINATION DIET
FOOD BOLUS OBSTRUCTION
ENDOSCOPIC FEATURES
HISTOPATHOLOGIC VARIABILITY
SWALLOWED FLUTICASONE
HISTOLOGIC REMISSION
FEEDING DYSFUNCTION
DIET
DYSPHAGIA
ENDOSCOPY
OESOPHAGEAL DISEASE
PAEDIATRIC GASTROENTEROLOGY
Adult
Child
Consensus
Eosinophilic Esophagitis
Gastroenterology
Humans
Quality of Life
Societies, Medical
Humans
Consensus
Gastroenterology
Quality of Life
Adult
Child
Societies, Medical
Eosinophilic Esophagitis
Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
DYSPHAGIA
DIET
ENDOSCOPY
OESOPHAGEAL DISEASE
PAEDIATRIC GASTROENTEROLOGY
HIGH-RESOLUTION MANOMETRY
GASTROESOPHAGEAL-REFLUX DISEASE
QUALITY-OF-LIFE
6-FOOD ELIMINATION DIET
FOOD BOLUS OBSTRUCTION
ENDOSCOPIC FEATURES
HISTOPATHOLOGIC VARIABILITY
SWALLOWED FLUTICASONE
HISTOLOGIC REMISSION
FEEDING DYSFUNCTION
Gastroenterology & Hepatology
1103 Clinical Sciences
1114 Paediatrics and Reproductive Medicine
Publication Status: Published
Open Access location: https://gut.bmj.com/content/early/2022/05/23/gutjnl-2022-327326.long
Online Publication Date: 2022-05-23
Appears in Collections:National Heart and Lung Institute
Faculty of Medicine



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