Corvo M, Ghiglioni D, Gemellaro L, Sarratud T, Fiocchi A
UO di Pediatria, Ospedale Macedonio Melloni, Milano.
Pediatr Med Chir. 2009 Jul-Aug;31(4):153-9.
Gastrointestinal food allergies are a spectrum of disorders that result from adverse immune responses to dietary antigens. The disorders include immediate gastrointestinal hypersensitivity, allergic eosinophilic esophagitis, gastritis, gastroenterocolitis, proctitis, dietary protein enterocolitis, enteropathy and celiac disease. Additional disorders sometimes attributed to food allergy include colic, gastroesophageal reflux and constipation. The pediatrician faces several challenges in dealing with these disorders because diagnosis requires differentiating allergic disorders from many other causes of similar symptoms and therapy requires identification of causal foods, application of therapeutic diets and/or medications and monitoring for resolution of these disorders.
胃肠道食物过敏是一系列由对饮食抗原的不良免疫反应引起的疾病。这些疾病包括速发型胃肠道过敏、过敏性嗜酸性食管炎、胃炎、胃肠结肠炎、直肠炎、饮食蛋白性小肠结肠炎、小肠病和乳糜泻。有时归因于食物过敏的其他疾病包括腹绞痛、胃食管反流和便秘。儿科医生在处理这些疾病时面临几个挑战，因为诊断需要将过敏性疾病与许多其他具有相似症状的病因区分开来，而治疗需要确定致病食物、应用治疗性饮食和/或药物，并监测这些疾病的缓解情况。
