Dietary treatment of eosinophilic esophagitis

Nirmala Gonsalves; Amir F Kagalwalla

doi:10.1016/j.gtc.2014.02.011

Dietary treatment of eosinophilic esophagitis

Gastroenterol Clin North Am. 2014 Jun;43(2):375-83. doi: 10.1016/j.gtc.2014.02.011. Epub 2014 Mar 21.

Authors

Nirmala Gonsalves¹, Amir F Kagalwalla²

Affiliations

¹ Division of Gastroenterology & Hepatology, Northwestern University-Feinberg School of Medicine, 676 North Saint Claire, Suite 1400, Chicago, IL 60611, USA.
² Division of Gastroenterology, Hepatology & Nutrition, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University-Feinberg School of Medicine, 225 East Chicago Avenue, Chicago, IL 60611, USA. Electronic address: akagalwalla@luriechildrens.org.

PMID: 24813522
DOI: 10.1016/j.gtc.2014.02.011

Abstract

Emerging evidence supports impaired epithelial barrier function as the key initial event in the development of eosinophilic esophagitis (EoE) and other allergic diseases. Symptom resolution, histologic remission, and prevention of both disease and treatment-related complications are the goals of treatment. Successful dietary treatments include elemental, empirical elimination and allergy test directed diets. Dietary therapy with exclusive elemental diet offers the best response. Cow's milk, wheat, egg, soy, peanut/tree nut, and fish/shellfish are the 6 food antigens most likely to induce esophageal inflammation.

Keywords: Diet; Eosinophilic esophagitis; Treatment.

MeSH terms

Eosinophilic Esophagitis / diet therapy*
Humans