Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.
First Department of Internal Medicine, Fondazione IRCCS San Matteo, 27100 Pavia, Italy.
Nutrients. 2023 May 22;15(10):2409. doi: 10.3390/nu15102409.
Allergen-free diets are a specific and effective anti-inflammatory therapy for eosinophilic esophagitis. They should be carried out by a multidisciplinary team to reduce side effects and improve adherence. According to recent guidelines and expert opinions, empirical diets with a reduced number of eliminated food categories and a step-up approach are the most encouraged strategy to reduce the number of endoscopies to identify food trigger(s) and maximize clinical results and adherence. Despite the fact that allergy testing-based diets are not recommended at a population level, geographical sensitization patterns may play a role in some patients in specific areas, such as in Southern and Central Europe.
无过敏原饮食是嗜酸性粒细胞性食管炎的一种特定且有效的抗炎治疗方法。应由多学科团队进行实施，以减少副作用并提高患者的依从性。根据最近的指南和专家意见，减少消除食物种类的经验性饮食和逐步升级的方法是最受鼓励的策略，可以减少识别食物触发物所需的内镜检查次数，最大限度地提高临床效果和患者的依从性。尽管基于过敏测试的饮食在人群层面上不被推荐，但在某些特定地区（如南欧和中欧），地理致敏模式可能在某些患者中起作用。
