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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.

Dhar, A; Haboubi, HN; Attwood, SE; Auth, MKH; Dunn, JM; Sweis, R; Morris, D; Epstein, J; Novelli, MR; Hunter, H; et al. 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 (2022) 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. Gut, 71 (8). pp. 1459-1487. ISSN 1468-3288 https://doi.org/10.1136/gutjnl-2022-327326
SGUL Authors: Hayat, Jamal

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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.

Item Type: Article
Additional Information: © 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: DIET, DYSPHAGIA, ENDOSCOPY, OESOPHAGEAL DISEASE, PAEDIATRIC GASTROENTEROLOGY, Adult, Child, Consensus, Eosinophilic Esophagitis, Gastroenterology, Humans, Quality of Life, Societies, Medical, 1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, Gastroenterology & Hepatology
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: Gut
ISSN: 1468-3288
Language: eng
Dates:
DateEvent
7 July 2022Published
23 May 2022Published Online
12 May 2022Accepted
Publisher License: Creative Commons: Attribution-Noncommercial 4.0
PubMed ID: 35606089
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/114594
Publisher's version: https://doi.org/10.1136/gutjnl-2022-327326

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