Introduction

Dietary elimination therapy has long been an option for patients with eosinophilic esophagitis (EoE). Multiple diets have been reported, with variable efforts involved, efficacy rates, costs, and long-term management plans. Although the pros and cons of dietary elimination therapy have been described, a clear method for deciding on who is the right candidate for a diet, and which diet is best for that candidate, has not been clearly delineated.

Areas covered

This article covers the benefits and challenges of dietary elimination therapies for patients with EoE. It outlines factors to consider before opting for an elimination diet, and for choosing which specific elimination diet to follow. Efficacy rates and pros and cons of each specific elimination diet are also discussed. Peer-reviewed published studies testing various elimination diets in patients with EoE were used for that purpose.

Expert opinion

Dietary elimination therapy is a long-term management option for patients with EoE. Shared decision making involving the patient and the medical provider is important. Multiple factors including demographics, diet, nutritional status, social and financial support, and acceptance of multiple endoscopies need to be considered. Ongoing multi-disciplinary support during the initiation and maintenance phases of the diet is crucial to ensure good outcomes.

中文翻译：

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嗜酸性粒细胞性食管炎的消除饮食：做出最佳选择。

介绍

长期以来，饮食消除疗法一直是嗜酸性粒细胞性食管炎 (EoE) 患者的一种选择。已经报道了多种饮食，涉及不同的努力、有效率、成本和长期管理计划。尽管已经描述了饮食消除疗法的利弊，但尚未明确描述确定谁是正确的饮食候选者以及哪种饮食最适合该候选者的明确方法。

覆盖区域

本文介绍了饮食消除疗法对 EoE 患者的益处和挑战。它概述了在选择消除饮食之前要考虑的因素，以及选择要遵循的特定消除饮食。还讨论了每种特定消除饮食的有效率和利弊。为此目的，使用了同行评审已发表的研究，该研究在 EoE 患者中测试了各种消除饮食。

专家意见

饮食消除疗法是 EoE 患者的长期管理选择。涉及患者和医疗提供者的共同决策很重要。需要考虑多种因素，包括人口统计学、饮食、营养状况、社会和经济支持以及对多种内窥镜检查的接受程度。在饮食的开始和维持阶段持续的多学科支持对于确保良好的结果至关重要。