Dietary Therapy For Eosinophilic Esophagitis Elimination And Reintroduction

A dietitian can help counsel you on diet treatment for eoe.

Dietary therapy for eosinophilic esophagitis elimination and reintroduction. Dietary therapy in adult eoe has some practical advantages. This diet is best for finding triggers but takes longer than the other options. Eosinophilic esophagitis eoe is a food antigen mediated disorder of the esophagus characterized by eosinophil predominant inflammation and symptoms of esophageal dysfunction. The diet should be followed under the supervision of a dietitian usually for 6 weeks for adults or 8 12 weeks for children.

We assessed the effects of the sfed followed by food reintroduction on the histologic response symptoms and quality of life in adults with eoe. A 6 food elimination diet sfed is effective in children with eoe. What is the six food elimination diet. This is one of the diets used to find eoe food triggers.

Standardization of food reintroduction novel food allergy testing and studies evaluating a milk elimination diet in children and the long term outcomes of dietary interventions are warranted. A six food elimination diet followed by individual food reintroduction identified milk wheat and eggs as the more common food triggers for eoe in australia. An upper endoscopy and biopsy is performed after six weeks of the sfed diet. Dietary elimination with food reintroduction has the ability to identify the actual triggers of the disease.

The most restrictive of elimi. The six food elimination diet sfed is the most frequently employed dietary therapy in patients with eoe. In general the combined use of corticosteroids with diet therapy for eoe should be avoided as the histologic response to corticosteroids masks the effect of the elimination diet making it difficult if not impossible to identify a food trigger during the food reintroduction process. A recent multicenter prospective study demonstrated that a 4 food elimination diet 4fed elimination of cow s milk wheat egg and soy had a 64 response rate in children with eoe.

This diet typically trials the exclusion of wheat milk egg nuts soy fish and shellfish. Dietary antigen elimination induces clinical and histological remission in patients with eoe. Adults with eosinophilic esophagitis eoe typically present with dysphagia and food impaction. Dietary therapy in eosinophilic oesophagitis do not test just eliminate and reintroduce the most common food triggers.

This allows patients to have more control in their ability to alter their disease course which in our experience has been important for many patients.