Evidence map›Paper›PMID 34836010›Full record

Observational studyNutrients2021

Esophageal Eosinophilia and Eosinophilic Esophagitis in Celiac Children: A Ten Year Prospective Observational Study.

Fernanda Cristofori, Fulvio Salvatore D'Abramo, Vincenzo Rutigliano, Vanessa Nadia Dargenio, Stefania Castellaneta, Domenico Piscitelli, Davide De Benedittis, Flavia Indrio, Lidia Celeste Raguseo, Michele Barone and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Epidemiologic and Clinical Clues to the Etiology of Eosinophilic Esophagitis.Immunology and allergy clinics of North America · 2024
    Review
  6. Review
  7. 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
  8. Observational
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

11 authors at 3 institutions in 1 country.

Fernanda CristoforiInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.
Fulvio Salvatore D'AbramoDepartment of Emergency and Organ Transplantation, Section of Gastroenterology, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.
Vincenzo RutiglianoInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.
Vanessa Nadia DargenioInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.ORCID 0000-0001-6564-4788
Stefania CastellanetaInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.
Domenico PiscitelliDepartment of Emergency and Organ Transplantation, Section of Pathology, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.
Davide De BenedittisDepartment of Information Engineering, University of Pisa, Largo L. Lazzarino 2, 56122 Pisa, Italy.
Flavia IndrioDepartment of Medical and Surgical Science, University of Foggia, Viale L. Pinto, 71122 Foggia, Italy.ORCID 0000-0001-9789-7878
Lidia Celeste RaguseoInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.ORCID 0000-0003-4364-1206
Michele BaroneDepartment of Emergency and Organ Transplantation, Section of Gastroenterology, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124 Bari, Italy.ORCID 0000-0001-8284-5127
Ruggiero FrancavillaInterdisciplinary Department of Medicine, Pediatric Section "B. Trambusti", University of Bari "Aldo Moro", Via Amendola 207, 70126 Bari, Italy.ORCID 0000-0002-4603-974X
University of Bari Aldo Moro · ITUniversity of Foggia · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between eosinophilic esophagitis and celiac disease is still controversial and its prevalence is highly variable. We aimed to investigate the prevalence of esophageal eosinophilia and eosinophilic esophagitis in a large group of children with celiac disease, prospectively followed over 11 years.

methodsProspective observational study performed between 2008 and 2019. Celiac disease diagnosis was based on ESPGHAN criteria. At least four esophageal biopsies were sampled in patients who underwent endoscopy. The presence of at least 15 eosinophils/HPF on esophageal biopsies was considered suggestive of esophageal eosinophilia; at the same time, eosinophilic esophagitis was diagnosed according to the International Consensus Diagnostic Criteria for Eosinophilic Esophagitis.

resultsA total of 465 children (M 42% mean age 7.1 years (range: 1-16)) were diagnosed with celiac disease. Three hundred and seventy patients underwent endoscopy, and esophageal biopsies were available in 313. The prevalence of esophageal eosinophilia in children with celiac disease was 1.6% (95% CI: 0.54-2.9%). Only one child was diagnosed as eosinophilic esophagitis; we calculated a prevalence of 0.3% (95% CI: 0.2-0.5%). The odds ratio for an association between eosinophilic esophagitis and celiac disease was at least 6.5 times higher (95% CI: 0.89-47.7%;

conclusionThe finding of an increased number of eosinophils (>15/HPF) in celiac patients does not have a clinical implication or warrant intervention, and therefore we do not recommend routine esophageal biopsies unless clinically indicated.

Indexed as

AdolescentBiopsyCeliac DiseaseChildChild, PreschoolEosinophiliaEosinophilic EsophagitisEosinophilsEsophageal DiseasesEsophagusFemaleHumansInfantMaleOdds RatioPrevalenceceliac diseaseeosinophilic esophagitiseosinophilic gastrointestinal disordersesophageal eosinophilia

Identifiers

PMID34836010
PMCPMC8625488
OpenAlexW3209587415

What OpenQuestion holds

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LicenceCC BY
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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.