At the ACG 2025 Annual Meeting, researchers from Boston Medical Center revealed that targeted education and workflow changes between emergency and GI teams dramatically improved diagnosis rates for eosinophilic esophagitis (EoE).
By training ED clinicians to better recognize dysphagia and esophageal food impaction, and introducing a rapid outpatient referral system, biopsy rates during index endoscopy jumped from 44% to 100%. Referrals from the ED for endoscopy also rose from 1.2% to 16.2%.
“These findings show that simple, coordinated interventions can expedite EoE diagnosis and care,” said Dr. Rosa Yu, the study’s lead investigator. “Biopsies are safe and should be performed during the first endoscopy.”