A recent analysis of the literature for dietary treatment of eosinophilic esophagitis (EoE) has been published (Gastroenterology 2014; 146: 1639-48). Only 33 references out of 581 screened were included, yielding 1317 patients (1128 children and 189 adults).
- Elemental diets were effective in 90.8%
- Six-food elimination diets were effective in 72.1%
- Allergy test-directed diets were effective in 45.5%
- Adults responded similarly to children to dietary interventions with remission in 67.2% compared to 63.3%.
Bottomline: This study reiterates the dietary response rates from multiple previous studies. The finding that adults respond similar to children is less well-recognized, perhaps because dietary treatments are used less often in adults with EoE.
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