Efficacy of Dietary Interventions for Inducing Histologic Remission in Patients With Eosinophilic Esophagitis: A Systematic Review and Meta-analysis

Eosinophilic esophagitis

“…117 A recent meta-analysis which included 1317 patients (1128 children, 189 adults) from 33 studies compared histological response will all the above mentioned strategies. 118 Elemental diet was the most effective (90.8%) followed by SFED (72.1%).…”

Diagnosis and treatment of eosinophilic esophagitis in clinical practice

“…Three different types of the diet therapy, including the elemental diet, allergy-testing based elimination diet, and empiric elimination diet, have been attempted primarily in infants and more recently, in adults [112]. Although the elemental diet using an amino acid-based formula is highly effective to induce symptomatic and histological remission, especially in infants, this approach is extremely costly and poorly tolerable as it requires a feeding tube or has unpleasant flavor, and it is unsustainable for long-term use.…”

“…Subsequently, the empiric elimination diet, in which the most common allergens are antecedently excluded, was devised as a more practical and simple method. A recent systematic review and meta-analysis revealed that the six-food elimination diet (i.e., wheat, milk, eggs, nuts, soy, and seafood) and the four-food group elimination diet (i.e., dairy, eggs, legumes, and wheat) achieve histological remission in 70% and 50% of patients, respectively, without differences between children and adults [112]. Thus, diet therapy may be a useful alternative therapeutic option, allowing the reduction or discontinuation of medication, especially in patients who may require long-term use of steroid therapy [113].…”

La mystérieuse œsophagite à éosinophiles garde encore quelques secrets

“…Le principe du traitement diététique de l'EoE à l'heure actuelle est d'éliminer plusieurs groupes alimentaires du régime, puis de les réintroduire individuellement en procédant ensuite à une évaluation clinique et histologique pour définir plus précisément les aliments incriminés;ces aliments sont soit choisis de manière empirique, soit identifiésg r â ce à bilan allergologique [23,64,26,65,66]. C'est bien entendu une démarchet rès lourde, qui nécessite des endoscopies répétées et à la find é boucheras ur un régime alimentaire souvent assez sévère, avecparfois des rechutes et des conséquences psychologiques non négligeables [67].…”