2020
DOI: 10.25302/04.2020.cer.140311593
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Comparing Two Restrictive Diets for Treating Eosinophilic Esophagitis in Children

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Cited by 2 publications
(3 citation statements)
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“…159,160 Another randomised trial involving children with EoE showed that 1FED compared with 4FED resulted in similar rates of histologic remission and slightly lower improvement in symptoms but greater improvement in quality of life. 161 This implies that from a clinical standpoint, it would be reasonable to start with a less restrictive diet, to examine a 1FED or 2FED, assess for response, and then if there is non-response, move to more restrictive diets if a patient is interested. Two main approaches are used in clinical practice which include a top-down approach -beginning with a 6FED and adding a single food/food group back at a timeand a step-up approach -beginning with 1FED or 2FED and removing foods/food groups in intervals.…”
Section: Clinical Trials Identifiermentioning
confidence: 99%
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“…159,160 Another randomised trial involving children with EoE showed that 1FED compared with 4FED resulted in similar rates of histologic remission and slightly lower improvement in symptoms but greater improvement in quality of life. 161 This implies that from a clinical standpoint, it would be reasonable to start with a less restrictive diet, to examine a 1FED or 2FED, assess for response, and then if there is non-response, move to more restrictive diets if a patient is interested. Two main approaches are used in clinical practice which include a top-down approach -beginning with a 6FED and adding a single food/food group back at a timeand a step-up approach -beginning with 1FED or 2FED and removing foods/food groups in intervals.…”
Section: Clinical Trials Identifiermentioning
confidence: 99%
“…Since this time, a randomised trial in adults with EoE randomly assigned to 1FED or 6FED failed to detect a difference in rates of histologic remission between the two groups at 6 weeks (34% vs. 40%, respectively; absolute risk difference: 6%, 95% CI: −11% to 23%) 159,160 . Another randomised trial involving children with EoE showed that 1FED compared with 4FED resulted in similar rates of histologic remission and slightly lower improvement in symptoms but greater improvement in quality of life 161 . This implies that from a clinical standpoint, it would be reasonable to start with a less restrictive diet, to examine a 1FED or 2FED, assess for response, and then if there is non‐response, move to more restrictive diets if a patient is interested.…”
Section: Therapeuticsmentioning
confidence: 99%
“…Multifood elimination diets are challenging due to the need for strict adherence as well as the requirement for multiple endoscopies to document the efficacy of the diets in reducing esophageal eosinophilia. Studies in children demonstrate that isolated milk elimination can be as successful as FFED [53]. Although combined skin prick and patch testing have had variable success rates, allergy testing-based elimination diets have largely fallen out of favor.…”
Section: Allergies and Eosinophilic Esophagitismentioning
confidence: 99%