关键词: Elimination diet Eosinophilic enteritis Eosinophilic gastritis Eosinophilic gastrointestinal disease Feeding difficulties Food triggers Malnutrition

Mesh : Humans Enteritis / diagnosis therapy Gastritis / diagnosis therapy Eosinophilia / therapy diagnosis Food Hypersensitivity / therapy Allergens

来  源:   DOI:10.1016/j.iac.2024.01.009

Abstract:
Patients with non-eosinophilic esophagitis eosinophilic gastrointestinal diseases (non-EoE EGIDs) are prone to nutritional deficiencies due to food-avoidant behaviors, malabsorption, and high nutrition impact symptoms. Nutrient deficiencies correspond to the segment, depth, and extent of the gastrointestinal tract involved and can impact organs distant from the gut. Patients with non-EoE EGIDs are often atopic, and some appear to respond to dietary avoidance of specific food allergens. Tests to identify food triggers other than response to elimination diets are lacking. Dietary restriction therapy should be considered in such patients and is best implemented through a multidisciplinary approach to avoid nutritional complications.
摘要:
非嗜酸性粒细胞性食管炎嗜酸性粒细胞性胃肠道疾病(非EoEEGIDs)的患者由于避免食物的行为而容易出现营养缺乏,吸收不良,和高营养影响症状。营养缺乏对应于细分市场,深度,以及胃肠道受累的程度,并可能影响远离肠道的器官。患有非EoEEGID的患者通常是特应性的,有些似乎对饮食中避免特定食物过敏原有反应。除了对消除饮食的反应之外,还缺乏确定食物触发因素的测试。此类患者应考虑饮食限制治疗,最好通过多学科方法实施,以避免营养并发症。
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