Efficacy of a Short-term Six-food Elimination Diet and Reintroduction Therapy in Pediatric Eosinophilic Gastroenteritis

被引:4
作者
Kakiuchi, Toshihiko [1 ]
Nakayama, Aiko [2 ]
Abe, Jun [2 ]
Matsuo, Muneaki [1 ]
机构
[1] Saga Univ, Fac Med, Dept Pediat, Saga, Japan
[2] Karatsu Red Cross Hosp, Dept Pediat, Karatsu, Japan
关键词
eosinophilic gastroenteritis; eosinophilic esophagitis; 6-food elimination diet therapy; reintroduction therapy; pediatric; ESOPHAGITIS; MANAGEMENT; CHILDREN;
D O I
10.2169/internalmedicine.4264-19
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 13-year-old boy presented to the hospital with a 3-month history of repeated vomiting and abdominal pain. Results of esophagogastroduodenoscopy revealed a diagnosis of eosinophilic gastroenteritis (EGE). We initiated a short-term six-food elimination diet (SPED) and reintroduction therapy over five days. On the third day of SFED, the patient's abdominal symptoms completely disappeared. However, he experienced unbearable abdominal pain six hours after the reintroduction of milk and peanuts. His symptoms remain completely controlled at present after eliminating milk and peanut products. The SPED and reintroduction therapy for EGE may be effective even for short-term treatments over a five-day period.
引用
收藏
页码:1379 / 1385
页数:7
相关论文
共 16 条
[11]   Successful Food-Elimination Diet in an Adult with Eosinophilic Gastroenteritis [J].
Okimoto, Eiko ;
Ishimura, Norihisa ;
Okada, Mayumi ;
Mikami, Hironobu ;
Sonoyama, Hiroki ;
Ishikawa, Nahoko ;
Araki, Asuka ;
Oshima, Naoki ;
Hirai, Junko ;
Ishihara, Shunji ;
Maruyama, Riruke ;
Kinoshita, Yoshikazu .
ACG CASE REPORTS JOURNAL, 2018, 5
[12]   Diagnosis, Natural History and Treatment of Eosinophilic Enteritis: a Review [J].
Pineton de Chambrun G. ;
Dufour G. ;
Tassy B. ;
Rivière B. ;
Bouta N. ;
Bismuth M. ;
Panaro F. ;
Funakoshi N. ;
Ramos J. ;
Valats J.-C. ;
Blanc P. .
Current Gastroenterology Reports, 2018, 20 (8)
[13]  
Sasaki A, 2019, J MED INVESTIG, V66, P201, DOI 10.2152/jmi.66.201
[14]   Elimination diets in the management of eosinophilic esophagitis [J].
Wechsler, Joshua B. ;
Schwartz, Sally ;
Amsden, Katie ;
Kagalwalla, Amir F. .
JOURNAL OF ASTHMA AND ALLERGY, 2014, 7 :85-94
[15]   Eosinophilic Gastroenteritis Treated with a Multiple-Food Elimination Diet [J].
Yamada, Yoshiyuki ;
Kato, Masahiko ;
Isoda, Yuka ;
Nishi, Akira ;
Jinbo, Yuko ;
Hayashi, Yasuhide .
ALLERGOLOGY INTERNATIONAL, 2014, 63 :53-56
[16]   Primary eosinophilic disorders of the gastrointestinal tract [J].
Yan, B. M. ;
Shaffer, E. A. .
GUT, 2009, 58 (05) :721-732