Evaluation of the diagnostic accuracy of two esophageal biopsy sites compared to three in histological follow-up of eosinophilic esophagitis – A multicentric study

In EoE follow-up, two-site (distal+proximal) biopsies provide classification nearly equivalent to three-site sampling, with only a 2 % miss rate for active disease when the middle site is omitted. This approach may reduce procedure time, patient discomfort, and costs while maintaining excellent diagnostic performance.

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Publication Details

Journal
Digestive and Liver Disease
Published
2026-02-17
DOI
https://doi.org/10.1016/j.dld.2026.01.219
Primary Topic
Eosinophilic Esophagitis
Type
article
Field-Weighted Citation Impact
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article

Evaluation of the diagnostic accuracy of two esophageal biopsy sites compared to three in histological follow-up of eosinophilic esophagitis – A multicentric study

Roberto Penagini, Giovanni Aldinio, Andrea Sorge, Daria Maniero et al.
Digestive and Liver Disease
Eosinophilic Esophagitis
article

Evaluation of the diagnostic accuracy of two esophageal biopsy sites compared to three in histological follow-up of eosinophilic esophagitis – A multicentric study

Roberto Penagini, Giovanni Aldinio, Andrea Sorge, Daria Maniero, Beatrice Marinoni, Luca Mastracci, Manuele Furnari, Nicola De Bortoli, Elisa Marabotto, A Pasta, Giorgia Bodini, Federica Grillo, Marina Coletta, Tommaso Pessarelli, Pierfrancesco Visaggi, Maurizio Vecchi, Edoardo Vincenzo Savarino, Francesco Calabrese
article en

Abstract

In EoE follow-up, two-site (distal+proximal) biopsies provide classification nearly equivalent to three-site sampling, with only a 2 % miss rate for active disease when the middle site is omitted. This approach may reduce procedure time, patient discomfort, and costs while maintaining excellent diagnostic performance.

Digestive and Liver DiseaseVol. 58(4)
University of Pisa (IT), University of Padua (IT), University of Milan (IT), Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT), Ospedale Policlinico San Martino (IT)
Openalex Percentile: Top 53%
Eosinophilic Esophagitis
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Evaluation of the diagnostic accuracy of two esophageal biopsy sites compared to three in histological follow-up of eosinophilic esophagitis – A multicentric study — Roberto Penagini, Giovanni Aldinio, et al. · Digestive and Liver Disease (2026) | TGRS Research Map | TGRS