PDF(Pubmed)
Abstract：
Although eosinophilic gastrointestinal diseases, including eosinophilic esophagitis, have been described over the past 2 to 3 decades, barriers to diagnosis and treatment are common and compounded by issues related to social determinants of health, race, ethnicity, and access to care. These barriers contribute to delays in diagnosis, resulting in persistent inflammation in the gastrointestinal tract, which can have significant consequences, including fibrostenotic complications in adults, failure to thrive in children, and decreased quality of life in all affected patients. In this commentary, we summarize gaps in knowledge regarding the epidemiology of eosinophilic gastrointestinal diseases, highlight barriers to diagnosis, discuss potential approaches based on best practices in other atopic and chronic gastrointestinal diseases, and provide recommendations for reducing barriers to timely diagnosis of eosinophilic gastrointestinal diseases in underserved populations.
摘要：
虽然嗜酸性粒细胞性胃肠道疾病（EGIDs），包括嗜酸性粒细胞性食管炎（EoE），在过去的2-3年里，诊断和治疗的障碍是常见的，并且与健康的社会决定因素有关的问题更加复杂，种族,种族,和获得护理的机会。这些障碍导致诊断延迟，导致胃肠道持续炎症，可能产生重大后果。包括成人的纤维狭窄并发症，未能在儿童中茁壮成长，所有受影响患者的生活质量下降。在这篇评论中,我们总结了有关EGID流行病学的知识差距，突出诊断的障碍，讨论基于其他特应性和慢性胃肠道疾病的最佳实践的潜在方法，并为减少在得不到充分服务的人群中及时诊断EGIDs的障碍提供建议.
