Avoidant/Restrictive Food Intake Disorder in Diet-treated Children With Eosinophilic Esophagitis. Issue 1 (July 2019)

• Record Type: Journal Article
• Authors: Robson, Jacob; Laborda, Trevor; Fitzgerald, Susan; Andersen, Joseph; Peterson, Kathryn; O'Gorman, Molly; Guthery, Stephen; Bennett-Murphy, Laura
• Is Part Of: Journal of pediatric gastroenterology and nutrition. Volume 69:Issue 1(2019)
• Publication Date: 2019-07
• Subjects: eating disorder -- food allergy -- food protein-restricted diet -- pediatric gastroenterology; Children -- Nutrition -- Periodicals; Pediatric gastroenterology -- Periodicals; Infants -- Nutrition -- Periodicals; Nutrition disorders in children -- Periodicals; Child Nutrition -- Periodicals; Digestive System -- growth & development -- Periodicals; Gastrointestinal Diseases -- Periodicals; Infant Nutrition -- Periodicals; Nutrition Disorders -- Periodicals; Child; 618.923
• DOI: 10.1097/MPG.0000000000002323
• Languages: English
• ISSNs: 0277-2116

Abstract

Abstract : ABSTRACT: Eosinophilic esophagitis (EoE) is an inflammatory condition of the esophagus with rising incidence in children. Owed to potential adverse effects and high costs of EoE medications, strict elimination diets are often employed as a mainstay of long-term EoE therapy in children. Currently, there are no effective tests to pinpoint food protein triggers in children with EoE. Therefore, EoE elimination diets are often broad (including milk, soy, wheat, egg, fish/shellfish, and nuts) and can greatly alter a child's baseline eating habits. Herein, we describe 2 cases of avoidant/restrictive food intake disorder (ARFID) in children with remitted EoE maintained on an elimination diet. We also present comorbidity data on ARFID and diet-treated EoE from our pediatric EoE clinic. This is the first report of disordered eating associated with EoE therapy. As EoE is becoming more common, close monitoring of intake and growth in patients treated with elimination diets will be key.