Evidence map›Paper›PMID 21477849›Full record

SynthesisThe Journal of allergy and clinical immunology2011

Eosinophilic esophagitis: updated consensus recommendations for children and adults.

Chris A Liacouras, Glenn T Furuta, Ikuo Hirano, Dan Atkins, Stephen E Attwood, Peter A Bonis, A Wesley Burks, Mirna Chehade, Margaret H Collins, Evan S Dellon and 23 more

6 registry-linked trialsOpen access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Journal of allergy and clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 895 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
895citing papers in PubMed, 7 pooled it
163.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02113267 phase2terminatednot on this mapstarted 2014, after this paper: background citation

Treatment of Eosinophilic Esophagitis With Mometason Furoat Aerosol: a Randomised, Placebo-controled Phase II Study for Evaluation of Treatment Effect on Group Level Including Symtom Questionnaires

TypeinterventionalSponsorMogens BoveRan2014 to 2018Enrolled40ConditionsEosinophilic EsophagitisArmsMometasone furoate, Placebo
NCT03069573 completednot on this mapstarted 2015, after this paper: background citation

Phenotypic Characterization of Pediatric Patients With Esophageal Eosinophilia and Biomarkers Investigation for the Diagnosis of Eosinophilic Esophagitis

Typeobservational_patient_registrySponsorFederal University of UberlandiaRan2015 to 2019Enrolled110ConditionsEosinophilic Esophagitis, Gastroesophageal Reflux
NCT03781596 phase4unknown statusnot on this mapstarted 2018, after this paper: background citation

Randomized Controlled Trial Comparing Fluticasone Plus Omeprazole With Fluticasone Alone for Eosinophilic Esophagitis

TypeinterventionalSponsorClaire DanielsRan2018 to 2022Enrolled100ConditionsEosinophilic EsophagitisArmsRetrospective evaluation of endoscopy prior to study drug, Symptom Survey, Medication Compliance Phone Call, Endoscopy while on study drug, Fluticasone
NCT04311970 nacompletednot on this mapstarted 2020, after this paper: background citation

Pilot Study of EsoCheck Compared to Biopsies and Brush Cytology During Endoscopy for Evaluation of Eosinophilic Esophagitis.

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2021Enrolled12ConditionsEosinophilic Esophagitis, Diagnoses DiseaseArmsEsoCheck
NCT05176262 active not recruitingnot on this map

A Prospective Study of the Four Food Elimination Diet for Treatment of Eosinophilic Esophagitis

Typeobservational_patient_registrySponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2011 to 2027Enrolled64ConditionsEosinophilic Esophagitis
NCT05309590 active not recruitingnot on this mapstarted 2014, after this paper: background citation

Prospective Pilot Study Evaluating the Efficacy of Low-Dose Topical Steroids in Maintaining Histologic Remission of Eosinophilic Esophagitis in Children

Typeobservational_patient_registrySponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2014 to 2027Enrolled50ConditionsEosinophilic EsophagitisArmsDose
3 · Its place in the literature

Who cites it

895 citing papers in PubMed, 7 syntheses or guidelines pooled it, 2,065 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  4. Pooled it
  5. Pooled it
  6. Pooled it
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  8. Trial
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  11. A Newly Proposed Severity Index for Eosinophilic Esophagitis is Associated With Baseline Clinical Features and Successful Treatment Response.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Diffuse esophageal eosinophilia is associated with increased endoscopic severity and topical steroid non-response in patients with eosinophilic esophagitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  16. Nasal and inhaled steroid use does not influence treatment response outcomes in eosinophilic esophagitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  17. Article
  18. The Food Allergy-Eosinophilic Esophagitis Continuum: Implications for Food Allergy Immunotherapy.The journal of allergy and clinical immunology. In practice · 2026
    Review
  19. Article
  20. Article

835 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 2 institutions in 1 country.

Chris A LiacourasCenter for Pediatric Eosinophilic Disorders, Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. liacouras@email.chop.edu
Glenn T Furuta
Ikuo Hirano
Dan Atkins
Stephen E Attwood
Peter A Bonis
A Wesley Burks
Mirna Chehade
Margaret H Collins
Evan S Dellon
Ranjan Dohil
Gary W Falk
Nirmala Gonsalves
Sandeep K Gupta
David A Katzka
Alfredo J Lucendo
Jonathan E Markowitz
Richard J Noel
Robert D Odze
Philip E Putnam
Joel E Richter
Yvonne Romero
Eduardo Ruchelli
Hugh A Sampson
Alain Schoepfer
Nicholas J Shaheen
Scott H Sicherer
Stuart Spechler
Jonathan M Spergel
Alex Straumann
Barry K Wershil
Marc E Rothenberg
Seema S Aceves
University Gastroenterology · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eosinophilic esophagitis (EoE) is a clinicopathologic condition of increasing recognition and prevalence. In 2007, a consensus recommendation provided clinical and histopathologic guidance for the diagnosis and treatment of EoE; however, only a minority of physicians use the 2007 guidelines, which require fulfillment of both histologic and clinical features. Since 2007, the number of EoE publications has doubled, providing new disease insight. Accordingly, a panel of 33 physicians with expertise in pediatric and adult allergy/immunology, gastroenterology, and pathology conducted a systematic review of the EoE literature (since September 2006) using electronic databases. Based on the literature review and expertise of the panel, information and recommendations were provided in each of the following areas of EoE: diagnostics, genetics, allergy testing, therapeutics, and disease complications. Because accumulating animal and human data have provided evidence that EoE appears to be an antigen-driven immunologic process that involves multiple pathogenic pathways, a new conceptual definition is proposed highlighting that EoE represents a chronic, immune/antigen-mediated disease characterized clinically by symptoms related to esophageal dysfunction and histologically by eosinophil-predominant inflammation. The diagnostic guidelines continue to define EoE as an isolated chronic disorder of the esophagus diagnosed by the need of both clinical and pathologic features. Patients commonly have high rates of concurrent allergic diatheses, especially food sensitization, compared with the general population. Proved therapeutic options include chronic dietary elimination, topical corticosteroids, and esophageal dilation. Important additions since 2007 include genetic underpinnings that implicate EoE susceptibility caused by polymorphisms in the thymic stromal lymphopoietin protein gene and the description of a new potential disease phenotype, proton pump inhibitor-responsive esophageal eosinophila. Further advances and controversies regarding diagnostic methods, surrogate disease markers, allergy testing, and treatment approaches are discussed.

Indexed as

AdultChildConsensus Statements as TopicEosinophilic EsophagitisGuidelines as TopicHumans

Identifiers

PMID21477849
OpenAlexW1995481725

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.