Dietary Management of Eosinophilic Esophagitis Man Versus Food or Food Versus Man?

被引:8
作者
Chang, Joy W. [1 ]
Haller, Emily [1 ]
Dellon, Evan S. [2 ]
机构
[1] Univ Michigan, Div Gastroenterol & Hepatol, Dept Internal Med, Taubman Ctr 3912, 1500 E Med Ctr Dr,SPC 5362, Ann Arbor, MI 48109 USA
[2] Univ N Carolina, Div Gastroenterol & Hepatol, Dept Internal Med, Ctr Esophageal Dis & Swallowing,Sch Med, CB 7080,Bioinformat Bldg,130 Mason Farm Rd, Chapel Hill, NC 27599 USA
关键词
Eosinophilic esophagitis; Food antigens; Diet elimination; Treatment;
D O I
10.1016/j.gtc.2020.10.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
An alternative to pharmacologic management of eosinophilic esophagitis, elimination of food antigens for diet therapy is an effective first-line treatment strategy to induce and maintain symptomatic, histologic, and endoscopic disease remission. The 3 dietary strategies for eosinophilic esophagitis include elemental diet, empiric elimination diet, and targeted elimination diet. We review the studies supporting various diet therapy strategies, practical considerations and challenges for applying an elimination diet, and novel testing to identify triggers and optimize food reintroduction. © 2020 Elsevier Inc.
引用
收藏
页码:59 / 75
页数:17
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