Nutrients · 5 authors, 4 centres
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This narrative review summarizes dietary intervention strategies as first-line anti-inflammatory treatments for adult eosinophilic esophagitis (EoE), noting that diet therapy is the only modality that specifically targets the allergen trigger of the disease. The authors emphasize the need for multidisciplinary management to improve efficacy and patient adherence.
This narrative review, conducted via PubMed search in January 2023, evaluates dietary interventions for adult patients with eosinophilic esophagitis (EoE). EoE is described as a chronic, allergen-triggered, immune-mediated disease with an incidence up to 20/100,000 per year. Diet therapy is positioned alongside proton-pump inhibitors and swallowed topical steroids as a first-line anti-inflammatory treatment. The authors note that EoE follows a progressive course leading to fibrosis, often requiring lifelong therapy. They conclude that dietary strategies should be implemented by multidisciplinary teams incorporating patient-centered parameters to increase adherence, and that future research is needed to define predictive factors and optimal combination therapy settings. This is a narrative review without systematic data extraction or meta-analysis.
