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Management of Eosinophilic Esophagitis

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Recommendations on the Management of EoE (cont'd) Statement Strength of recommendation Quality of evidence 8. Recommendation: In adult patients with dysphagia from a stricture associated with EoE, the AGA/JTF suggests endoscopic dilation over no dilation. Comment: Esophageal dilation does not address the esophageal inflammation associated with EoE. Conditional Very low 9. In patients with EoE, the AGA/JTF recommends using anti-IL-5 therapy for EoE only in the context of a clinical trial. No recommendation Knowledge gap 10. In patients with EoE, the AGA/JTF recommends using anti-IL-13 or anti-IL-4 receptor a therapy for EoE only in the context of a clinical trial. No recommendation Knowledge gap 11. In patients with EoE, the AGA/JTF suggests against the use of anti-IgE therapy for EoE. Conditional Very low 12-15. In patients with EoE the AGA/JTF suggest using montelukast, cromolyn sodium, immunomodulators, and anti-TNF for EoE only in the context of a clinical trial. No recommendation Knowledge gap Management

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