Gonsalves Nirmala
Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 1400, Chicago, IL 60611-2951, USA.
Gastrointest Endosc Clin N Am. 2018 Jan;28(1):89-96. doi: 10.1016/j.giec.2017.07.008. Epub 2017 Oct 10.
Eosinophilic esophagitis is characterized by dense mucosal eosinophilia with symptoms of esophageal dysfunction. Because the incidence and prevalence are increasing, understanding the available treatments is imperative. This article highlights evolution and advancements in dietary treatment, supports the notion that food antigens drive this disease, and discusses the advantages, limitations, and future of dietary therapy. Medical and dietary therapies are effective treatments and the optimal approach should be individualized based on patient goals and available local resources. Dietary therapy has been effective and further studies will help identify optimal approaches to dietary therapy.
嗜酸性食管炎的特征是黏膜嗜酸性粒细胞密集，并伴有食管功能障碍症状。由于其发病率和患病率不断上升，了解现有的治疗方法势在必行。本文重点介绍了饮食治疗的演变和进展，支持食物抗原驱动该疾病的观点，并讨论了饮食疗法的优势、局限性和未来发展。药物治疗和饮食治疗都是有效的治疗方法，最佳方法应根据患者目标和当地可用资源进行个体化选择。饮食疗法已被证明有效，进一步的研究将有助于确定饮食疗法的最佳方法。
