Guidelines Clinical Practice
Copyright ©2009 The WJG Press and Baishideng.
World J Gastroenterol. Jan 7, 2009; 15(1): 17-24
Published online Jan 7, 2009. doi: 10.3748/wjg.15.17
Table 4 Diagnostic guidelines for eosinophilic esophagitis
Eosinophilic esophagitis
Symptoms (adults)GERD refractory to medical therapy
Dysphagia
Food Impaction
Retrosternal chest pain
EndoscopyMucosal furrows
Exudates
Esophageal lumen narrowing
Rings
HistologyEsophageal biopsies ≥15 eosinophils/HPF
Biopsies obtained after 6-8 wk of bid PPI therapy or patients must have a documented negative pH study
Normal biopsies in the rest of the GI tract