Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Clin Gastroenterol Hepatol. 2023 Jul;21(7):1690-1698. doi: 10.1016/j.cgh.2023.03.006. Epub 2023 Mar 16.
Dietary therapy for short- and long-term management of eosinophilic esophagitis is an effective yet poorly understood and underutilized treatment strategy. Despite several prospective trials demonstrating the efficacy of dietary therapies, successful clinical implementation is hampered by the need for a multidisciplinary approach including dietitian support and provider expertise. The availability of these resources is not readily available to most gastroenterologists. Without standardized guidance on starting or completing the diet for gastrointestinal providers and/or consulting dietitians, provider attitudes toward dietary therapy vary greatly depending on familiarity and knowledge gaps in using diet therapy. This review aims to summarize evidence in support of dietary therapy in eosinophilic esophagitis while providing guidance on initiation and implementation of dietary therapy for providers.
饮食疗法是一种有效但了解甚少且未得到充分利用的治疗策略，可用于治疗短期和长期的嗜酸性食管炎。尽管有几项前瞻性试验证明了饮食疗法的疗效，但由于需要多学科方法，包括营养师的支持和提供者的专业知识，因此成功的临床实施受到了阻碍。这些资源并不是大多数胃肠病学家都能轻易获得的。由于缺乏针对胃肠道提供者和/或咨询营养师的开始或完成饮食的标准化指导，提供者对饮食疗法的态度因使用饮食疗法的熟悉程度和知识差距而有很大差异。本文旨在总结饮食疗法在嗜酸性食管炎中的证据，同时为提供者提供饮食疗法的启动和实施指导。
