Evidence map›Paper›PMID 39064673›Full record

SynthesisNutrients2024

Efficacy of Dietary Therapy for Eosinophilic Esophagitis in Children and Adults: An Updated Systematic Review and Meta-Analysis.

Ángel Arias, Antonio Tejera-Muñoz, Lucía Gutiérrez-Ramírez, Javier Molina-Infante, Alfredo J Lucendo, EUREOS Guidelines Committee

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Eosinophilic gastrointestinal diseases.Nature reviews. Disease primers · 2026
    Review
  6. Economic burden of eosinophilic esophagitis in the first year after diagnosis in Spain: A direct medical cost analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Observational
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Food elimination in EoE: Milk before wheat, egg, and soy.The Journal of allergy and clinical immunology · 2025
    Article
  15. Review
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ángel AriasResearch Unit Complejo Hospitalario La Mancha Centro, 13600 Alcázar de San Juan, Spain.ORCID 0000-0003-1006-0958
Antonio Tejera-MuñozResearch Unit Complejo Hospitalario La Mancha Centro, 13600 Alcázar de San Juan, Spain.ORCID 0000-0002-7954-5753
Lucía Gutiérrez-RamírezResearch Unit Complejo Hospitalario La Mancha Centro, 13600 Alcázar de San Juan, Spain.ORCID 0000-0003-0522-4129
Javier Molina-InfanteCentro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas (CIBEREHD), 28006 Madrid, Spain.
Alfredo J LucendoInstituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), 45004 Toledo, Spain.ORCID 0000-0003-1183-1072
EUREOS Guidelines Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral dietary approaches have been used to induce remission in patients with eosinophilic esophagitis (EoE), yielding varied results.

methodsWe searched the MEDLINE, EMBASE, and Scopus databases up to May 2024 to identify studies including dietary interventions for EoE used as monotherapy. Summary estimates with 95% CIs for achieving <15 eosinophils/HPF were calculated for each approach. Fixed or random effects models were used depending on heterogeneity (I

resultsForty-three studies with 2825 patients were included in quantitative summaries. The overall rate of histologic remission was 60.6% (95% CI, 54.6-66.5%). Effectiveness rates were 94.5% (95% CI, 92.3-96.4%) for elemental diets, 63.9% (95% CI, 58.5-69.2%) for six-food elimination diets, 54.7% (95% CI, 45.7-63.6%) for four-food elimination diets, 44.3% (95% CI, 36.1-52.8%) for two-food elimination diets, 46.4% (95% CI, 40-52.9%) for one-food elimination diets, and 39.5% (95% CI, 30.3-49.2%) for allergy testing-directed food elimination diets. Overall, superior efficacy was noted in children than in adults and in retrospective compared to prospective studies.

conclusionDiet therapy remains an effective therapeutic asset for pediatric and adult patients with EoE, with increasing efficacy noted as the levels of dietary restriction increase.

Indexed as

Eosinophilic EsophagitisAdultChildHumansTreatment Outcomecohort studiesdietary treatmenteosinophilic esophagitishistological remissionmeta-analysispediatric

Identifiers

PMID39064673
PMCPMC11279983

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.