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Value of an Additional Review for Eosinophil Quantification in Esophageal Biopsies.


ABSTRACT: Eosinophilic esophagitis (EoE) requires a peak count of 15 eosinophils per high-power field (hpf). Herein, the peak eosinophil count specified by a pathologist was compared with the second review of a research assistant. Of 477 biopsies, 106 had a peak count between 1 and 14 eosinophils/hpf cited in the pathology report, and 23/106 (22%) had ?15 eosinophils/hpf on second review. The pathology report detected potential EoE with 99% specificity, but 80% sensitivity. As such, an additional review of esophageal biopsies yields higher eosinophil counts in ?5% of cases. We propose that biopsies with a count between 1 and 14 eosinophils/hpf require further investigation because ?22% may yield a potential EoE diagnosis.

SUBMITTER: Stucke EM 

PROVIDER: S-EPMC4483145 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature

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Value of an Additional Review for Eosinophil Quantification in Esophageal Biopsies.

Stucke Emily M EM   Clarridge Katherine E KE   Collins Margaret H MH   Henderson Carol J CJ   Martin Lisa J LJ   Rothenberg Marc E ME  

Journal of pediatric gastroenterology and nutrition 20150701 1


Eosinophilic esophagitis (EoE) requires a peak count of 15 eosinophils per high-power field (hpf). Herein, the peak eosinophil count specified by a pathologist was compared with the second review of a research assistant. Of 477 biopsies, 106 had a peak count between 1 and 14 eosinophils/hpf cited in the pathology report, and 23/106 (22%) had ≥15 eosinophils/hpf on second review. The pathology report detected potential EoE with 99% specificity, but 80% sensitivity. As such, an additional review o  ...[more]

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