Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Am J Gastroenterol. 2022 Dec 1;117(12):2071-2074. doi: 10.14309/ajg.0000000000001988. Epub 2022 Sep 1.
Despite effective dietary treatments, physicians prefer medications for eosinophilic esophagitis (EoE).
We conducted a web-based survey of providers to assess the perceived effectiveness, practice patterns, and barriers to EoE dietary therapy.
Providers view diet as the least effective treatment. The greatest barrier was the belief that patients are disinterested and unlikely to adhere (58%). With less access to dietitians (56%), nonacademic providers often manage diets without dietitian guidance (41%).
Given high patient acceptance for diets and multiple treatment options for EoE, clinicians need evidence-based knowledge on EoE diets, access to dietitians, and awareness of patient preferences.
尽管有有效的饮食治疗方法，医生还是更倾向于为嗜酸性食管炎（EoE）患者开药。
我们对医务人员进行了一项基于网络的调查，以评估他们对饮食治疗 EoE 的有效性、实践模式和障碍的看法。
医务人员认为饮食治疗的效果最差。最大的障碍是他们认为患者不感兴趣且不太可能坚持（58%）。由于获得营养师的机会较少（56%），非学术医疗机构的医务人员在没有营养师指导的情况下管理饮食（41%）。
鉴于患者对饮食治疗的高度接受度和 EoE 的多种治疗选择，临床医生需要了解 EoE 饮食方面的循证知识，获得营养师的支持，并了解患者的偏好。
