ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron | June 2022-June29 Session 14 - Pathologists Perspective of Eosinophilic Esophagitis

June29 Session 14 - Pathologists Perspective of Eosinophilic Esophagitis

Video Transcription

Video Summary

In this video, Dr. Booth, a pathologist from Northwestern, provides an overview of eosinophilic esophagitis (EOE) from a pathologist's perspective. He explains the role of a pathologist, the histological criteria for diagnosing EOE, and the differential diagnosis with gastroesophageal reflux disease (GERD). Dr. Booth discusses the normal histology of the esophagus and highlights the key features seen in EOE, such as increased intraepithelial eosinophils, basal cell hyperplasia, spongiosis, and lamina propria fibrosis. He emphasizes the importance of clinical correlation in making a diagnosis and mentions the benefits and limitations of eosinophil counting in the pathology report. Dr. Booth also addresses the effect of treatment on eosinophil counts and the differences between EOE and GERD in terms of endoscopic findings and clinical symptoms. He concludes by presenting some diagnostic tips and pearls for pathologists and recommending close collaboration between pathologists and gastroenterologists for accurate diagnosis and patient management.

Asset Subtitle

Adam Booth, MD

Keywords

eosinophilic esophagitis

pathologist

histological criteria

diagnosis

differential diagnosis

intraepithelial eosinophils

clinical correlation

endoscopic findings