Tutorial: Nutrition Therapy in Eosinophilic Esophagitis—Outcomes and Deficiencies

Hillary Bashaw, Sally Schwartz, Amir F. Kagalwalla, Joshua B. Wechsler*

*Corresponding author for this work

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Eosinophilic esophagitis (EoE) is a chronic, immune-mediated disease that presents with symptoms of esophageal dysfunction, which vary by age. Diagnosis is made by upper endoscopy with esophageal biopsies to identify dense eosinophilic inflammation with at least 15 eosinophils per high-power field. Untreated, EoE can progress from inflammatory to esophageal remodeling with fibrosis and stricture formation. Food antigens are the primary trigger of inflammation in EoE. The most common food antigen triggers are dairy, wheat, egg, and soy. EoE can be managed with steroids or dietary elimination of food triggers. Elimination diets differ by the number of foods removed with specific nutrition implications for each diet. In addition, patients receiving swallowed steroids may have feeding dysfunction and need support for growth and nutrition intake. A multidisciplinary approach to care, including a dietitian, is integral to EoE management.

Original languageEnglish (US)
Pages (from-to)600-609
Number of pages10
JournalJournal of Parenteral and Enteral Nutrition
Volume44
Issue number4
DOIs
StatePublished - May 1 2020

Keywords

  • allergy
  • dietary treatment
  • eosinophilic esophagitis
  • nutrition assessment
  • parenteral nutrition

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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