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A Better Approach to Pediatric Eosinophilic Esophagitis

Clin Gastroenterol Hepatol; 2017 Nov; Kagalwalla, et al

Publish date:: November 9, 2017

A less restrictive elimination diet can help control eosinophilic esophagitis (EoE) in children, according to a recent clinical study that included 78 patients.

In the past, a 6-food elimination regimen has proven effective in managing EoE in children and adults.
The new investigation found that eliminating only 4 foods—cow’s milk, wheat, eggs, and soy—for 8 weeks produced histologic remission in 50 patients (64%).
The mean clinical symptom score at the beginning of the experiment was 4.5 and decreased to 2.3 after 8 weeks (P<.001).
Mean endoscopic score dropped from 2.1 to 1.3 (P<.001).

Citation:

Kagalwalla AF, Wechsler JB, Amsden K, et al. Efficacy of a 4-food elimination diet for children with eosinophilic esophagitis. Clin Gastroenterol Hepatol. 2017;15:1698-1707.e7. doi:10.1016/j.cgh.2017.05.048.

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