title: Dietary Therapy and Nutrition Management of Eosinophilic Esophagitis: A Work Group Report of the American Academy of Allergy, Asthma, and Immunology.
abstract: Eosinophilic esophagitis (EoE) is a chronic/immune-antigen-mediated disease characterized clinically by symptoms related to esophageal dysfunction and histologically by eosinophil-predominant inflammation. Dietary elimination therapy has been shown to be an effective, drug-free prescription for the treatment of EoE. A range of different dietary elimination therapies have been used. Regardless of the elimination diet chosen, dietary therapy requires in-depth nutrition assessment and management. Elimination diets are not without risk and may impact nutritional status, eating pleasure, and overall quality of life. With adequate guidance, dietary therapy can be effective and nutritionally balanced, and the adverse impact on lifestyle can be minimized. This work group report addresses the potential challenges of implementing an elimination diet for the management of EoE and provides instructions and tools for physicians, dietitians, and other allied health professionals to help guide them in planning elimination diets for both children and adults.
authors.affiliation: Division of Allergy and Immunology, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: marion.groetch@mssm.edu.
authors.forename: Marion
authors.initials: M
authors.lastname: Groetch
authors.affiliation: Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Carina
authors.initials: C
authors.lastname: Venter
authors.affiliation: Allergy Department, Royal Brompton and Harefield NHS Foundation Trust, London, UK; Department of Paediatrics, Imperial College, London, UK.
authors.forename: Isabel
authors.initials: I
authors.lastname: Skypala
authors.affiliation: Onze lieve Vrouwe Gasthuis (OLVG), Department of Paediatrics, Amsterdam, The Netherlands.
authors.forename: Berber
authors.initials: B
authors.lastname: Vlieg-Boerstra
authors.affiliation: Department of Nutrition and Dietetics, Southampton's Children's Hospital, Southampton, UK; Clinical and Experimental Sciences and Human Development in Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Grimshaw
authors.affiliation: Division of Food Allergy, Asthma and Allergy Specialists, PA, Charlotte, NC.
authors.forename: Raquel
authors.initials: R
authors.lastname: Durban
authors.affiliation: Division of Nutrition Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Alison
authors.initials: A
authors.lastname: Cassin
authors.affiliation: Department of Medical Affairs, Fresenius Kabi USA, LLC, Lake Zurich, Ill.
authors.forename: Michelle
authors.initials: M
authors.lastname: Henry
authors.affiliation: Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Kara
authors.initials: K
authors.lastname: Kliewer
authors.affiliation: Department of Internal Medicine, Harvard Medical School, Boston, Mass; Department of Internal Medicine, New England Baptist Hospital, Boston, Mass.
authors.forename: Lynda
authors.initials: L
authors.lastname: Kabbash
authors.affiliation: Gastrointestinal Eosinophilic Diseases Program and Allergy & Immunology Section, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
authors.forename: Dan
authors.initials: D
authors.lastname: Atkins
authors.affiliation: Division of Allergy and Immunology, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Anna
authors.initials: A
authors.lastname: Nowak-Węgrzyn
authors.affiliation: Allergy and Asthma Consultants, Indianapolis, Ind.
authors.forename: Mark
authors.initials: M
authors.lastname: Holbreich
authors.affiliation: Departments of Pediatrics and Medicine, Mount Sinai Center for Eosinophilic Disorders, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Mirna
authors.initials: M
authors.lastname: Chehade
mesh_terms: D000328:Adult; D000818:Animals; D002648:Child; D004032:Diet; D057765:Eosinophilic Esophagitis / Q000178:diet therapy*; D005526:Food, Formulated; D006801:Humans; D011788:Quality of Life; D014481:United States
keywords: Dietary therapy; Dietitian; Elimination diet; Eosinophilic esophagitis; Growth; Nutrition