Mo1874 Long-Term Results of the European Achalasia Trial: Pneumatic Dilation Versus Laparoscopic Heller Myotomy

Abstract

G A A b st ra ct s patients were included. The average number of esophageal biopsies per gastroscopy was 3.7 ± 2.6 (extremes = 1; 8). The esophageal site from which biopsies were taken was unknown in 33.3% (n = 11), at only one level in 24.2% (n = 8), and at least at two levels in 42.4% (n = 14) of cases. The number of biopsies per site was identified in 70% (n = 23) of the reports. In total, 30.4% (n = 7) of the reports were done in accordance with the consensus recommendations (at least 2 identified sites in the esophagus with at least 2 biopsies per site). CONCLUSION: If the total number of biopsies done for the diagnosis of EoE seemed sufficient, the identification of biopsy levels and the number of biopsies per site was not. Only 30% of endoscopy reports respected the consensus guidelines. A better identification of biopsy sites is possible without prolonging the endoscopy time and would contribute to improving the diagnosis. 1 Liacouras CA, Furuta C, et al. Eosinophilic esophagitis: Updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011;128:3-20.