Eosinophilic oesophagitis is an allergic condition of the gullet and it seems that more children are presenting with this condition. Food allergy is the principal cause of EoE and it often goes hand in hand with gastro-oesophageal reflux disease.
When a large number of eosinophils, a type of white blood cells, infiltrate the oesophagus we talk of Eosinophilic oesophagitis (EoE). Symptoms often start in infancy but can also affect toddlers, mostly males. These symptoms are very similar to those of gastro-oesophageal reflux disease:
Studies have shown that a high success rate can be achieved by nutritional therapy (removal of allergens). There are two ways of dietary management:
An elemental diet, where all sources of whole proteins are removed from the diet. This means that your doctor will prescribe an amino acid-based formula.
An elimination diet means that you have to completely remove all foods tested positive through allergy tests or that you have to avoid one of more of the top 8 food allergens seen in children (cow’s milk, soya beans, hen’s eggs, tree nuts, peanuts, wheat, and fish/shellfish). To make sure your child is given all the nutrition it needs, amino acid-based formulas can be prescribed by the doctor to supplement the restricted diet.
Nutritional therapy should be under the direction and supervision of a qualified doctor or dietitian.
Kelly et al. Gastroenterology 1995; 109: 1503-12
Liacouraset al. ClinGastroenterolHepatol 2005; 3:1198-1206
Markowitz et al. Am J Gastroenterol 2003; 98: 777-82
Miele et al. JPGN 2002; 35:314-319
Spergelet al. Ann Allergy Asthma Immunol 2005; 95:336-343