ABSTRACT
Gastroesophageal reux disease (GERD) and Eosinophilic esophagitis (EoE) are common gastrointestinal disorders seen by both primary care physicians and gastroenterologists. GERD is estimated to affect 13%–29% of the U.S. population and recent estimates suggest the prevalence of EoE in adults to be 1 in 10,000.1,2 Both
8.1 Introduction .................................................................................................. 161 8.2 Gastroesophageal Reux Disease ................................................................. 162 8.3 Lifestyle and Dietary Therapy for GERD .................................................... 162 8.4 Eosinophilic Esophagitis .............................................................................. 165
8.4.1 Effectiveness of Empiric Elimination Diets in Adults ..................... 166 8.4.2 Approach to Dietary Therapy in Adult EoE ..................................... 167 8.4.3 Implementing SFED in Clinical Practice: The Chicago Experience ... 167
8.4.3.1 Wheat Avoidance ............................................................... 167 8.4.3.2 Milk Avoidance .................................................................. 168
8.4.4 Egg Avoidance .................................................................................. 168 8.4.4.1 Soy Avoidance ................................................................... 168 8.4.4.2 Peanut and Tree Nut Avoidance ......................................... 168 8.4.4.3 Avoiding Fish and Shellsh ............................................... 168 8.4.4.4 Label Reading and Avoiding Cross Contamination .......... 169 8.4.4.5 Managing Nutritional Limitations of SFED ...................... 169
8.5 Conclusion .................................................................................................... 169 8.6 Case Study .................................................................................................... 170 References .............................................................................................................. 172
medical and dietary therapies are effective treatments for these conditions.3-8 This chapter will highlight the dietary approach to treating these disorders.
