Dietary Treatment in Children with Eosinophilic Oesophagitis

Abstract

There is an increasing proportion of applications for basic benefit due to EoE in children when the diet should be free of wheat for a certain period or on a permanent basis. Patients with this condition are often in the testing phase where several other foods are eliminated, as part of the elimination diet [4-6]. Elimination of certain foods can lead to histological and symptomatic improvement. However, identifying which foods should be eliminated in the diet can be challenging. Although the condition is chronic, many have long and good periods. It is currently unclear how long patients should have such a strict elimination diet. The severity of the symptoms rarely justifies a very restrictive diet [3]. Dietary treatment in children must be done in close collaboration with the clinical nutritionist since restrictive diets can be difficult to follow and lead to reduced quality of life and malnutrition. Treatment must be tailored and individualized.