OasisLMS

This series aims to equip advanced practice providers with practical, guideline-aligned approaches to the diagnosis and management of eosinophilic esophagitis (EoE). It is designed to build confidence in the use of both first-line and step-up therapies—including proton pump inhibitors, topical steroids, dietary therapy, dilation, and biologics—while emphasizing patient safety and shared decision-making. The program also focuses on standardizing longitudinal disease monitoring through symptoms, endoscopic findings (EREFS), and histology, with an emphasis on relapse prevention. Finally, it seeks to improve care coordination across gastroenterology, allergy, and nutrition services, including best practices for transitioning pediatric patients into adult care.

Part 2 addresses:

• Step-up/step-down framework and shared decision-making
• PPI dosing, trial duration, and response assessment
• Topical steroid options (viscous budesonide, fluticasone MDI): compounding tips, administration, oral candidiasis prevention
• Dietary therapy: step-up vs six-food; how to partner with dietitians; adherence strategies
• Biologics in EoE: indications, selection, baseline assessment, monitoring, safety 
• Panel discussion: Therapy selection in inflammatory vs fibrostenotic phenotypes
• Take-home: Steroid slurry recipe card, diet referral pathway, patient instruction handouts

Participants will be able to:

• Understand the mechanisms of action and data behind treatment using PPI, topical corticosteroids, diet and dupilumab for therapy in EoE
• Discuss shared decision making and how this plays a role in treatment decisions in EoE
• Review the role of step up versus top down therapy strategies in EoE

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