According to a recent retrospective study (CC Reed et al. Clin Gastroenterol Hepatol 2018; 16: 1667-9) the time to diagnosis of eosinophilic esophagitis (EoE) has NOT improved  between 2000 and 2014.  In this single tertiary-care center study with 677 cases, the predicted length of symptoms prior to diagnosis was the following:

• 2000-2006: 6.1 years
• 2007-2011: 7.2 years
• 2011-2014: 7.2 years

While in the pediatric cohort the trend was the same, the length of symptoms preceding diagnosis was shorter: 2.8 years, 3.5 years and 3.7 years respectively for the above-mentioned time periods.

My take: In GI circles, EoE is quickly considered for a variety of clinical presentations.  This study suggests that

• #1 for families and primary care doctors that many are unaware of this entity
• #2 the symptoms of EoE are often insidious

Related blog posts:

• EoE Update (Dr. Seth Marcus -2018)
• Long-term Use of PPIs for EoE
• Do we still need PPI-REE?
• Nexium versus Fluticasone for EoE
• Guidelines for Eosinophilic Esophagitis
• Higher Doses of Topical Steroids for Eosinophilic Esophagitis …
• Putting in Place a Big Piece of the Eosinophilic Esophagitis …
• Eosinophilic Esophagitis Slide Set | gutsandgrowth
• MicroRNA signature for eosinophilic esophagitis | gutsandgrowth
• EoE: Drugs, Diets, Dilatation and PPI-REE