Dietary Management of Non-EoE Eosinophilic Gastrointestinal Diseases.

Dan Atkins, Bethany Doerfler, Mirna Chehade

Journal: Immunology and allergy clinics of North America 2024;44(2):383-396

PMID: 38575231

Full Text on Elsevier Science View on PubMed

Abstract

Patients with non-eosinophilic esophagitis eosinophilic gastrointestinal diseases (non-EoE EGIDs) are prone to nutritional deficiencies due to food-avoidant behaviors, malabsorption, and high nutrition impact symptoms. Nutrient deficiencies correspond to the segment, depth, and extent of the gastrointestinal tract involved and can impact organs distant from the gut. Patients with non-EoE EGIDs are often atopic, and some appear to respond to dietary avoidance of specific food allergens. Tests to identify food triggers other than response to elimination diets are lacking. Dietary restriction therapy should be considered in such patients and is best implemented through a multidisciplinary approach to avoid nutritional complications.

Address: Mount Sinai Center for Eosinophilic Disorders, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1198, New York, NY 10029, USA. Electronic address: [email protected].; Department of Gastroenterology & Hepatology, Northwestern Feinberg School of Medicine, Digestive Health Center, 259 East Erie, Suite 1600, Chicago, IL 60611, USA.; Department of Pediatrics, Allergy and Immunology, Gastrointestinal Eosinophilic Diseases Program, University of Colorado School of Medicine, Children's Hospital Colorado, 13123 E. 16th Avenue, Aurora, CO 80045, USA.

DOI: 10.1016/j.iac.2024.01.009

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MeSH Terms: Humans, Enteritis, Gastritis, Eosinophilia, Food Hypersensitivity, Allergens