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

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...

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Published inGastroenterology clinics of North America Vol. 50; no. 1; p. 59
Main Authors Chang, Joy W, Haller, Emily, Dellon, Evan S
Format Journal Article
LanguageEnglish
Published United States 01.03.2021
Subjects
Diet elimination
Treatment
Food antigens
Eosinophilic esophagitis
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Summary: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.
ISSN:1558-1942
DOI:10.1016/j.gtc.2020.10.009