Changing Diet Benefits Eosinophilic Esophagitis Patients
the MPR take:
Dietary therapy has been a treatment component for eosinophilic esophagitis (EoE) and a new study is recommending that it be considered as a first-line therapy for children and adults. In an article published in the journal Gastroenterology, 33 studies of 1,317 pediatric and adult EoE patients were analyzed for the effectiveness of dietary interventions on histologic remission of EoE (reduction of peak eosinophil counts to <15 eosinophils/hpf). Dietary treatment strategies ranged in efficacy from 45.5% for allergy testing-directed food elimination to 90.8% for amino-acid based elemental diets. While the reported remission rates with elemental diets are impressive, the drawbacks include cost, elimination of all table food, and unappealing taste.
Various dietary interventions have been used to treat patients with eosinophilic esophagitis (EoE), yielding varied results. Reporting in Gastroenterology, they find that dietary interventions are effective in producing histologic remission in patients with EoE. Elemental diets and six-food elimination diets were the most effective, achieving <15 eosinophils/high-power field in 90.8% and 72.1% of patients, respectively.
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