Evidence map›Paper›PMID 23721294›Full record

ArticleBMC gastroenterology2013

The association between celiac disease and eosinophilic esophagitis in children and adults.

Michael J Stewart, Eldon Shaffer, Stephan J Urbanski, Paul L Beck, Martin A Storr

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Natural history of eosinophilic esophagitis: a systematic review of epidemiology and disease course.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2018
    Pooled it
  2. Case Series: Is Celiac Disease Underdiagnosed in Korean Children?The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Article
  3. Article
  4. Epidemiologic and Clinical Clues to the Etiology of Eosinophilic Esophagitis.Immunology and allergy clinics of North America · 2024
    Review
  5. Review
  6. Association of eosinophilic esophagitis with autoimmune and connective tissue disorders, and the impact on treatment response.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2022
    Article
  7. Increasing incidence of eosinophilic esophagitis in Sweden: a nationwide population study.Esophagus : official journal of the Japan Esophageal Society · 2022
    Article
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Article
  13. Barrett's esophagus is negatively associated with eosinophilic esophagitis in Japanese subjects.Esophagus : official journal of the Japan Esophageal Society · 2019
    Observational
  14. Pathophysiology of Eosinophilic Esophagitis.Clinical reviews in allergy & immunology · 2018
    Review
  15. Coeliac disease: to biopsy or not?Nature reviews. Gastroenterology & hepatology · 2018
    Review
  16. Article
  17. Article
  18. Genetics of eosinophilic esophagitis.Mucosal immunology · 2017
    Review
  19. Article
  20. Increased Risk of Esophageal Eosinophilia and Eosinophilic Esophagitis in Patients With Active Celiac Disease on Biopsy.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Michael J StewartDivision of Gastroenterology, University of Calgary, Calgary, Alberta, Canada. gidoc@gmx.com.
Eldon Shaffer
Stephan J Urbanski
Paul L Beck
Martin A Storr
University of Calgary · CADalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn association between eosinophilic esophagitis (EoE) and celiac disease (CD) has been suggested in the literature. Our aim was to confirm and quantify the association between these two diseases.

methodsAll patients in a large Canadian city diagnosed with EoE or CD over a five-year period were identified. Standardized incidence ratios (SIRs) with 95% confidence intervals (CIs) were calculated.

resultsOver the five-year study EoE was diagnosed in 421 patients and CD was diagnosed in 763 patients. The incidence of EoE ranged from 2.1 to 10.7 cases per 100,000 population. The incidence of CD ranged from 10.4 to 15.7 cases per 100,000 population. Among the EoE cohort, 83 (20%) cases of EoE and 245 (32%) cases of CD were diagnosed in pediatric patients. The incidence of EoE in the pediatric subpopulation ranged from 3.7 to 6.9 cases per 100,000 population. The incidence of CD in the pediatric subpopulation ranged from 9.5 to 22.7 cases per 100,000 population. The concomitant diagnosis of both EoE and CD was made in three patients, all of whom were pediatric males. The SIR for EoE in the CD cohort was 48.4 (95% CI = 9.73, 141.41) with a SIR for CD within the paediatric EoE cohort of 75.05 (95% CI = 15.08, 219.28).

conclusionsThis study confirms the association between EoE and CD. However, this association may be limited to pediatrics where the risk of each condition is increased 50 to 75-fold in patients diagnosed with the alternative condition. The concomitant diagnosis of these conditions should be considered in pediatric patients with upper gastrointestinal symptoms.

Indexed as

AdolescentAdultAge FactorsAlbertaCeliac DiseaseChildCohort StudiesConfidence IntervalsEosinophilic EsophagitisFemaleHumansIncidenceMaleYoung Adult

Identifiers

PMID23721294
PMCPMC3682941
OpenAlexW2016430191

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.