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Eosinophilic Esophagitis From an Allergy Perspective: How to Optimally Pursue Allergy Testing & Dietary Modification in the Adult Population

Overview
Specialty Gastroenterology
Date 2016 Oct 12
PMID 27726042
Citations 3
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Abstract

Eosinophilic esophagitis (EoE) is a clinicopathologic condition characterized by symptoms of esophageal dysfunction and eosinophil-predominant inflammation. In adults, the three most common treatment options are swallowed steroids, elimination diets, and periodic esophageal dilations. Many different elimination diets have been studied in adults, including elemental diets, allergy testing-directed diets, and empiric elimination diets. This article will review the existing data on these dietary therapies and will propose an approach to dietary management in adult EoE.

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References
1.
Gonsalves N, Yang G, Doerfler B, Ritz S, Ditto A, Hirano I . Elimination diet effectively treats eosinophilic esophagitis in adults; food reintroduction identifies causative factors. Gastroenterology. 2012; 142(7):1451-9.e1. DOI: 10.1053/j.gastro.2012.03.001. View

2.
Kelly K, Lazenby A, Rowe P, Yardley J, Perman J, Sampson H . Eosinophilic esophagitis attributed to gastroesophageal reflux: improvement with an amino acid-based formula. Gastroenterology. 1995; 109(5):1503-12. DOI: 10.1016/0016-5085(95)90637-1. View

3.
Anthony Chuang M, Chinnaratha M, Hancock D, Woodman R, Wong G, Cock C . Topical Steroid Therapy for the Treatment of Eosinophilic Esophagitis (EoE): A Systematic Review and Meta-Analysis. Clin Transl Gastroenterol. 2015; 6:e82. PMC: 4816205. DOI: 10.1038/ctg.2015.9. View

4.
Liacouras C, Furuta G, Hirano I, Atkins D, Attwood S, Bonis P . Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011; 128(1):3-20.e6. DOI: 10.1016/j.jaci.2011.02.040. View

5.
Weatherall M, Clay J, James K, Perrin K, Shirtcliffe P, Beasley R . Dose-response relationship of inhaled corticosteroids and cataracts: a systematic review and meta-analysis. Respirology. 2009; 14(7):983-90. DOI: 10.1111/j.1440-1843.2009.01589.x. View