Advanced Practice Provider EoE Program (Live/Virtual) | October 2025-Q and A

Video Transcription

Video Summary

The discussion addresses concerns about long-term use of PPIs and steroids, with studies showing no significant increase in risks like osteoporosis or fractures but a noted risk for C. difficile infection. For EOE, topical steroids may cause thrush, which can be treated without stopping the steroids. H2 blockers may show tachyphylaxis, but some patients respond well. Alpha-gal syndrome testing is suggested only if symptoms specifically indicate it. Anti-reflux surgery suits patients responding well to PPIs, with careful evaluation including motility testing to avoid complications in others. Emphasis is on lowest effective drug doses for chronic conditions.

Keywords

PPIs long-term use

steroids side effects

C. difficile infection

Eosinophilic esophagitis treatment

anti-reflux surgery evaluation