Am J Gastroenterol
ACG releases new guideline for eosinophilic esophagitis management
The guideline, developed by the American College of Gastroenterology (ACG), provides evidence-based recommendations for the diagnosis and management of eosinophilic esophagitis (EoE). Recommendations are based on a comprehensive review of current literature and expert consensus.
Key recommendations
- Proton pump inhibitors should be used as a treatment option.
- Topical steroids are recommended for managing EoE.
- Empiric diet elimination can be an effective treatment strategy.
- Biologic therapy is recommended for certain patients.
- Esophageal dilation may be necessary for some patients.
- Feeding therapy should be used adjunctively in children with food aversion or feeding dysfunction.
- Clinical, endoscopic, and histologic assessments should be conducted to evaluate treatment response and maintain therapy.
- Both the inflammatory and fibrostenotic aspects of EoE should be assessed and controlled during patient evaluation and follow-up.
Source:
Dellon ES, et al. (2025, January 1). Am J Gastroenterol. ACG Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis. https://pubmed.ncbi.nlm.nih.gov/39745304/