Evidence map›Paper›PMID 42487340›Full record

ArticleJournal of gastroenterology and hepatology2026

Burden of Eosinophilic Esophagitis and Gastroesophageal Reflux Disease in Metabolic Dysfunction-Associated Steatotic Liver Disease: A Comprehensive US Healthcare Analysis.

Rishi Chowdhary, Shreyas Prasad, Thai Hau Koo, Benjamin Douglas Xun Liu, Venkata Sunkesula, Adrian Lindsey, Ronnie Fass

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Article in Journal of gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Rishi ChowdharyDepartment of Medicine-Pediatrics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-3075-0684
Shreyas PrasadCase Western Reserve University, Cleveland, Ohio, USA.
Thai Hau KooDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, Ohio, USA.
Benjamin Douglas Xun LiuDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Venkata SunkesulaDivision of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
Adrian LindseyDivision of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
Ronnie FassDivision of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEosinophilic esophagitis (EoE) and gastroesophageal reflux disease (GERD) share several risk factors with metabolic dysfunction-associated steatotic liver disease (MASLD). However, the relationship between these conditions remains unclear. This study aimed to investigate the association between MASLD and EoE, as well as GERD and its phenotypes.

methodsWe conducted a population-based study using the TriNetX US Collaborative Network, analyzing adult patients (≥ 18 years) with and without MASLD. Propensity score matching (PSM) (1:1) was performed to adjust for demographics and clinical characteristics. The primary outcome was incident EoE. Secondary outcomes included GERD and its phenotypes such as nonerosive reflux disease (NERD), erosive esophagitis (EE), and Barrett's esophagus (BE).

resultsFollowing PSM, a total of 266 980 patients (18-44 years), 385 138 (45-64 years), and 150 640 (≥ 65 years) were included in the analysis. MASLD was strongly associated with increased odds of EoE across all age groups: 18-44 years (OR = 2.905; 95% CI 2.458-3.434), 45-64 years (OR = 2.423; 95% CI 2.057-2.854), and ≥ 65 years (OR = 2.327; 95% CI 1.606-3.371). Similarly, GERD, NERD, EE, and BE were associated with significantly higher odds among patients with MASLD across all age strata.

conclusionOur findings demonstrate a significant association between MASLD and EoE, as well as increased odds of GERD phenotypes in patients with MASLD. These associations highlight the need for further research to explore shared pathophysiological mechanisms and potential clinical implications.

Indexed as

Cost of IllnessEosinophilic EsophagitisFatty LiverGastroesophageal RefluxAdolescentAdultAgedFemaleHumansMaleMiddle AgedPhenotypeRisk FactorsUnited StatesYoung Adulteosinophilic esophagitisgastroesophageal reflux diseasemetabolic dysfunction–associatedsteatotic liver disease

Identifiers

PMID42487340
PMCPMC13534307

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.