Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Nutritional management of Eosinophilic Gastroenteropathies: Case series from the community. | Basilious and Liem Allergy Asthma Clinical Immunology 2011 7 10 http content 7 1 10 ALLERGY ASTHMA CLINICAL IMMUNOLOGY CASE REPORT Open Access Nutritional management of Eosinophilic Gastroenteropathies Case series from the community Alfred Basilious1 and Joel Liem2 Abstract Eosinophilic gastroenteropathies such as eosinophilic esophagitis and eosinophilic colitis have classically been treated with swallowed inhaled corticosteroids or oral corticosteroids. More recent studies have found elimination and elemental diets to be effective treatment alternatives to steroids. In this case series we describe the treatment of three children using nutritional management in a community setting. Elimination diets and elemental diets based on patch testing and skin prick tests reduced the eosinophil counts to normal levels in all three children. Food items which tested positive were then reintroduced while symptoms and eosinophil counts were monitored. Nutritional management of eosinophilic esophagitis and eosinophilic colitis was found to be effective in reducing symptoms. However obstacles facing patients who choose this type of therapy include limitations due to the cost of repeated endoscopies palatability of elimination elemental diets and the availability of subspecialists trained in management . Allergy Gastroenterology and Pathology . It may be a worthwhile endeavour to overcome these obstacles as nutritional management minimizes the potential long-term effects of chronic steroid therapy. Background Over the past decade eosinophilic gastroenteropathies have become increasingly recognized 1 . Eosinophilic esophagitis EoE is an inflammatory condition involving the infiltration of the esophagus with eosinophils. Symptoms of EoE in children can include ab dominal pain vomiting coughing and weight loss. The signs and symptoms of EoE can be similar to gastroesophageal reflux disease GERD thus making initial diagnosis difficult. Moreover patients with EoE
