Usually, they've failed the elemental diets
by the time I've seen them, so they're growth-retarded and they are steroid-toxic, and it's pretty obvious that they either end up having major surgery or immunosuppressant therapy.
Multiple studies demonstrate that the use of an elemental diet
in children with eosinophilic esophagitis is effective in 92%-98% of cases.
In 2 other patients, no food allergies were identified by allergy testing, but the condition was cured by an elemental diet
, following which the offending foods were identified by individual food challenges.
She did not respond despite a strict gluten-free diet for 6 months, followed by an elemental diet
for 6 weeks; while 4 months on cyclosporin resulted in some clinical and histologic improvement, she had to stop taking the drug because of deterioration of her renal function.
Enteral and parenteral nutrition: normoproteic diets, diets polymeric, oligomeric diets, enteral diets, special diets, parenteral nutrition, multivitamins, liquid diets, elemental diets
, specific diets, pediatric diets, etc.
Recent studies exploring elemental diets
in children have found that these diets can lead to a complete amelioration of esophageal eosinophils, confirming that food allergies are related to eosinophilic esophagitis in at least some patients.
Further underscoring the allergic nature of eosinophilic esophagitis is the fact that most affected patients respond to antiallergy therapy, whether it be swallowed inhaled corticosteroids or food elimination or elemental diets