Dietary Strategies in Adult Patients with Eosinophilic Esophagitis: A State-of-the-Art Review

Carlo Maria Rossi; Marco Vincenzo Lenti; Stefania Merli; Hellas Cena; Antonio Di Sabatino

doi:10.3390/nu15102409

Dietary Strategies in Adult Patients with Eosinophilic Esophagitis: A State-of-the-Art Review

Nutrients. 2023 May 22;15(10):2409. doi: 10.3390/nu15102409.

Authors

Carlo Maria Rossi^{1

2}, Marco Vincenzo Lenti^{1

2}, Stefania Merli^{1

2}, Hellas Cena^{3

4}, Antonio Di Sabatino^{1

2}

Affiliations

¹ Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.
² First Department of Internal Medicine, Fondazione IRCCS San Matteo, 27100 Pavia, Italy.
³ Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experiemental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.
⁴ Clinical Nutrition Unit, Department of General Medicine, Istituti Scientifici Maugeri IRCCS, 27100 Pavia, Italy.

Abstract

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.

Keywords: LTP; allergy; eosinophils.

Publication types

Review

MeSH terms

Adult
Allergens
Diet
Enteritis
Eosinophilia
Eosinophilic Esophagitis*
Food
Food Hypersensitivity*
Gastritis
Humans

Substances

Allergens

Supplementary concepts

Eosinophilic enteropathy

Grants and funding

Project funded under the National Recovery and Resilience Plan (NRRP), Mission 4 Component 2 Investment 1.3-Call for proposals No. 341 of 15 March 2022 of the Italian Ministry of University and Research, funded by the European Union–NextGenerationEU. Project code PE00000003, Concession Decree No. 1550 of 11 October 2022 adopted by the Italian Ministry of University and Research, CUP D93C22000890001, Project title“ON Foods-Research and innovation network on food and nutrition Sustainability, Safety and Security–Working ON Foods”.