Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schreiner, P; Balcar, L; Schlager, H; Madl, C; Ziachehabi, A; Mader, M; Steidl, K; Dinkhauser, P; Reider, S; Dolak, W; Dejaco, C; Groechenig, HP; Novacek, G.
Management of suspected and known eosinophilic esophagitis-a nationwide survey in Austria
WIEN KLIN WOCHENSCHR. 2023;
Doi: 10.1007/s00508-023-02198-0
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- Co-Autor*innen der Med Uni Graz
- Schlager Hansjörg
- Steidl Karin
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- Abstract:
- IntroductionEosinophilic 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.MethodsA web-based survey with 13 questions about the management of EoE was sent to endoscopists via the Austrian Society of Gastroenterology and Hepatology (oGGH).ResultsA 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.ConclusionThe 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.
- Find related publications in this database (Keywords)
- Dysphagia
- Esophageal Food Impaction
- Esophageal Disease
- Swallowing Disorder
- Inflammatory Bowel Disease