Can We Use Diet to Effectively Treat Esophageal Disease? A Review of the Current Literature

被引:9
作者
Newberry C. [1 ]
Lynch K. [1 ]
机构
[1] Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, 7th Floor, South Tower, Philadelphia, 19104, PA
关键词
Barrett’s esophagus; Dietary therapy; Eosinophilic esophagitis; Esophageal adenocarcinoma; Esophageal diseases; GERD;
D O I
10.1007/s11894-017-0578-5
中图分类号
学科分类号
摘要
Purpose of Review: Esophageal diseases represent a wide variety of conditions affecting esophageal anatomy, physiology, and motility. Therapy focuses on pharmacotherapy and endoscopic or surgical management. Dietary therapy can be considered in management algorithms for specific esophageal diseases. This review focuses on outlining the literature related to dietary therapy in gastroesophageal reflux disease, eosinophilic esophagitis, Barrett’s esophagus, and esophageal adenocarcinoma. Recent Findings: Currently, data are strongest for dietary manipulation in eosinophilic esophagitis, specifically the six-food elimination diet. Dietary effects on gastroesophageal reflux disease are less clear, though newer research indicates that increased fiber with reduction in simple sugar intake may improve symptoms. In terms of Barrett’s esophagus and esophageal adenocarcinoma, antioxidant intake may affect carcinogenesis, though to an unknown degree. Summary: Outcomes data regarding dietary manipulation for the management of esophageal diseases is heterogeneous. Given the rising interest in non-pharmacological treatment options for these patients, continued research is warranted. © 2017, Springer Science+Business Media, LLC.
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[21]  
Feldman M., Barnett C., Relationships between the acidity and osmolality of popular beverages and reported postprandial heartburn, Gastroenterology, 108, 1, pp. 125-131, (1995)
[22]  
Pehl C., Waizenhoefer A., Wendl B., Schmidt T., Schepp W., Pfeiffer A., Effect of low and high fat meals on lower esophageal sphincter motility and gastroesophageal reflux in healthy subjects, Am J Gastroenterol, 94, 5, pp. 1192-1196, (1999)
[23]  
Ruhl C.E., Everhart J.E., Overweight, but not high dietary fat intake, increases risk of gastroesophageal reflux disease hospitalization, Annals of Epidemiology, 9, 7, pp. 424-435, (1999)
[24]  
El-Serag H.B., Satia J.A., Rabeneck L., Dietary intake and the risk of gastro-oesophageal reflux disease: a cross sectional study in volunteers, Gut, 54, 1, pp. 11-17, (2005)
[25]  
The effects of dietary fat and calorie density on esophageal acid exposure and reflux symptoms. Clin Gastroenterol Hepatol., (2007)
[26]  
Austin G.L., Thiny M.T., Westman E.C., Yancy W.S., Shaheen N.J., A very low-carbohydrate diet improves gastroesophageal reflux and its symptoms, Dig Dis Sci, 51, 8, pp. 1307-1312, (2006)
[27]  
Pointer S.D., Rickstrew J., Slaughter J.C., Vaezi M.F., Silver H.J., Dietary carbohydrate intake, insulin resistance and gastro-oesophageal reflux disease: a pilot study in European- and African-American obese women, Alimentary Pharmacology & Therapeutics, 44, 9, (2016)
[28]  
Nam S.Y., Park B.J., Cho Y.-A., Ryu K.H., Choi I.J., Park S., Different effects of dietary factors on reflux esophagitis and non-erosive reflux disease in 11,690 Korean subjects, J Gastroenterol, (2016)
[29]  
Fujiwara Y., Machida A., Watanabe Y., Shiba M., Tominaga K., Watanabe T., Et al., Association between dinner-to-bed time and gastro-esophageal reflux disease, Am J Gastroenterol, 100, 12, pp. 2633-2636, (2005)
[30]  
Piesman M., Hwang I., Maydonovitch C., Wong R.K., Nocturnal reflux episodes following the administration of a standardized meal. Does timing matter?, Am J Gastroenterol, 102, 10, pp. 2128-2134, (2007)