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Advanced Practice Provider EoE Program (Live/Virtu ...
Teamwork in Treating EoE
Teamwork in Treating EoE
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Pdf Summary
The presentation by Dr. Diana Snyder emphasizes the importance and benefits of multidisciplinary (multi-D) care in managing Eosinophilic Esophagitis (EoE), a chronic, allergic, Th2-mediated disease often accompanied by comorbid allergic conditions and psychological challenges such as anxiety and depression. EoE requires lifelong treatment and adaptive coping strategies around eating and swallowing.<br /><br />A multidisciplinary team typically includes gastroenterologists, allergists, dietitians, feeding/swallowing specialists, and nurse educators, with possible additions like psychologists, endocrinologists, transition coordinators, and researchers. This team can operate through combined clinics (single, comprehensive visits) or relay teams (targeted visits spread over multiple days).<br /><br />Using a case of an 18-year-old athlete with EoE and weight loss, Dr. Snyder illustrates how multidisciplinary care helps by coordinating dietary management, addressing asthma through allergists, and managing feeding concerns via feeding therapists. Such comprehensive care prevents fragmented communication, reduces patient and family confusion, supports shared decision-making, and enhances follow-up and research participation.<br /><br />Benefits to patients include streamlined, unified care with same-day communication among specialists and a single access point for ongoing communication. For providers, multidisciplinary care fosters collaboration, allows each specialist to work at the top of their expertise, and improves professional satisfaction.<br /><br />Specific roles include gastroenterologists who confirm diagnosis and manage GI symptoms, allergists who oversee allergic disease and treatment plans, dietitians who assess nutrition and diet adherence, and feeding specialists who address feeding dysfunctions. Behavioral health and endocrinology support growth, treatment adherence, and mental health.<br /><br />Building a multidisciplinary program involves stakeholder engagement, scheduling coordination, and clear communication pre-, during, and post-clinic visits. For less complex cases, smaller or alternative teams may be appropriate.<br /><br />In conclusion, while not all EoE patients require multidisciplinary care, complex cases benefit substantially from coordinated, comprehensive management that integrates multiple expertises, fosters communication, and supports patient-centered care and research opportunities.
Keywords
Eosinophilic Esophagitis
multidisciplinary care
gastroenterology
allergy
dietitian
feeding specialist
psychological support
patient-centered care
collaborative healthcare
chronic allergic disease
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