Dietary therapy for short and long-term management of eosinophilic esophagitis (EoE) is an effective, yet poorly understood and underutilized treatment strategy. Despite several prospective trials demonstrating the efficacy of dietary therapies, successful clinical implementation is hampered by the need for a multidisciplinary approach including dietitian support and provider expertise. The availability of these resources is not readily available to most gastroenterologists. Without standardized…
Clin Gastroenterol Hepatol. 2023 Mar 16:S1542-3565(23)00186-6. doi: 10.1016/j.cgh.2023.03.006. Online ahead of print.
ABSTRACT
Dietary therapy for short and long-term management of eosinophilic esophagitis (EoE) is an effective, yet poorly understood and underutilized treatment strategy. Despite several prospective trials demonstrating the efficacy of dietary therapies, successful clinical implementation is hampered by the need for a multidisciplinary approach including dietitian support and provider expertise. The availability of these resources is not readily available to most gastroenterologists. Without standardized guidance on starting or completing the diet for GI providers and/or consulting dietitians, provider attitudes towards dietary therapy vary greatly depending on familiarity and knowledge gaps in using diet therapy. This review aims to summarize evidence in support of dietary therapy in EoE while providing guidance on initiation and implementation of dietary therapy for providers.
PMID:36933603 | DOI:10.1016/j.cgh.2023.03.006
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