Dietary elimination therapy is an effective alternative for adults with eosinophilic esophagitis.

Background: In eosinophilic esophagitis, swallowed corticosteroids are effective. Based on a recent study, dietary elimination might be a more durable therapy.

Design: Retrospective study. In 31 adults with eosinophilic esophagitis responses were  assessed for a targeted elimination diet or a six food elimination diet (dairy, wheat, soy, nuts, seafood, eggs) Six weeks after elimination, if clinical improvement foods were reintroduced one at a time followed by endoscopy with biopsies.

Results: with 6 food elimination diet showed a higher clinical response and histologic response.

Skin prick testing, might not show sustained benefit.