Eosinophilic esophagitis in adults and children: evidence for a food allergy component in many patients.
DOI: 10.1097/ACI.0B013E32813AEE4A
关键词: Gastroenterology 、 Patch test 、 Eosinophilic esophagitis 、 Atopy 、 Medicine 、 Elemental diet 、 Reflux 、 Elimination diet 、 Food allergy 、 Allergy 、 Internal medicine
摘要: Purpose of review Eosinophilic esophagitis is a recently recognized disorder receiving increasing attention. Patients present with symptoms gastroesophageal reflux and are not responsive to standard or aggressive medications. This article reviews all literature published in English from December 2005 November 2006 PubMed on the topic eosinophilic esophagitis. Recent findings Three articles have confirmed that food allergies causative more than 90% patients. different diet strategies were used: elemental, elimination based prick-skin test, atopy patch test removal six most common foods. The elemental had highest success rate (> 95%), whereas testing-based 75%) six-food 70%) lower rates. There no organized dietary trials adults. Summary pediatric patients confirms nearly respond an resolution normalization biopsies. Although diets testing allergens showed success, they less successful complete diet. Unfortunately, there very limited studies adults address this issue.
sci-hub.se 参考文章(33)
R.T. Landres, G.G.R. Kuster, W.B. Strum, EOSINOPHILIC ESOPHAGITIS IN A PATIENT WITH VIGOROUS ACHALASIA Gastroenterology. ,vol. 74, pp. 1298- 1301 ,(1978) , 10.1016/0016-5085(78)90710-2
Brian M Yan, Eosinophilic esophagitis: a newly established cause of dysphagia. World Journal of Gastroenterology. ,vol. 12, pp. 2328- 2334 ,(2006) , 10.3748/WJG.V12.I15.2328
John W. Dobbins, Daniel G. Sheahan, Jose Behar, Eosinophilic Gastroenteritis With Esophageal Involvement Gastroenterology. ,vol. 72, pp. 1312- 1316 ,(1977) , 10.1016/S0016-5085(77)80034-6
Michael R. Konikoff, Richard J. Noel, Carine Blanchard, Cassie Kirby, Sean C. Jameson, Bridget K. Buckmeier, Rachel Akers, Mitchell B. Cohen, Margaret H. Collins, Amal H. Assa’ad, Seema S. Aceves, Philip E. Putnam, Marc E. Rothenberg, A Randomized, Double-Blind, Placebo-Controlled Trial of Fluticasone Propionate for Pediatric Eosinophilic Esophagitis Gastroenterology. ,vol. 131, pp. 1381- 1391 ,(2006) , 10.1053/J.GASTRO.2006.08.033
Matthew Remedios, Catherine Campbell, Dianne M. Jones, Paul Kerlin, Eosinophilic esophagitis in adults: clinical, endoscopic, histologic findings, and response to treatment with fluticasone propionate Gastrointestinal Endoscopy. ,vol. 63, pp. 3- 12 ,(2006) , 10.1016/J.GIE.2005.07.049
Jonathan M. Spergel, Terri Brown-Whitehorn, The use of patch testing in the diagnosis of food allergy. Current Allergy and Asthma Reports. ,vol. 5, pp. 86- 90 ,(2005) , 10.1007/S11882-005-0061-5
D SIMON, H MARTI, P HEER, H SIMON, L BRAATHEN, A STRAUMANN, Eosinophilic esophagitis is frequently associated with IgE-mediated allergic airway diseases. The Journal of Allergy and Clinical Immunology. ,vol. 115, pp. 1090- 1092 ,(2005) , 10.1016/J.JACI.2005.01.017
Steven J. Steiner, Kevin M. Kernek, Joseph F. Fitzgerald, Severity of basal cell hyperplasia differs in reflux versus eosinophilic esophagitis. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 42, pp. 506- 509 ,(2006) , 10.1097/01.MPG.0000221906.06899.1B
María F. Martín-Muñoz, Alfredo J. Lucendo, Marta Navarro, Antonio Letrán, Sonia Martín-Chávarri, Emilio Burgos, M. Martín-Esteban, Food Allergies and Eosinophilic Esophagitis – Two Case Studies Digestion. ,vol. 74, pp. 49- 54 ,(2006) , 10.1159/000096595
K. Onbasi, A. Z. Sin, B. Doganavsargil, G. F. Onder, S. Bor, F. Sebik, Eosinophil infiltration of the oesophageal mucosa in patients with pollen allergy during the season Clinical & Experimental Allergy. ,vol. 35, pp. 1423- 1431 ,(2005) , 10.1111/J.1365-2222.2005.02351.X