Dietary Treatment of Eosinophilic Esophagitis

被引:20
作者
Gonsalves, Nirmala [1 ]
Kagalwalla, Amir F. [2 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Div Gastroenterol & Hepatol, Chicago, IL 60611 USA
[2] Northwestern Univ, Feinberg Sch Med, Ann & Robert H Lurie Childrens Hosp Chicago, Div Gastroenterol Hepatol & Nutr, Chicago, IL 60611 USA
关键词
Eosinophilic esophagitis; Treatment; Diet; 6-FOOD ELIMINATION DIET; CAUSATIVE FOODS; VARIABLE YIELD; ELEMENTAL DIET; SKIN PRICK; CHILDREN; ALLERGY; IDENTIFICATION; FLUTICASONE; REMISSION;
D O I
10.1016/j.gtc.2014.02.011
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Emerging evidence supports impaired epithelial barrier function as the key initial event in the development of eosinophilic esophagitis (EoE) and other allergic diseases. Symptom resolution, histologic remission, and prevention of both disease and treatment-related complications are the goals of treatment. Successful dietary treatments include elemental, empirical elimination and allergy test directed diets. Dietary therapy with exclusive elemental diet offers the best response. Cow's milk, wheat, egg, soy, peanut/tree nut, and fish/shellfish are the 6 food antigens most likely to induce esophageal inflammation.
引用
收藏
页码:375 / +
页数:10
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