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Ocena uspešnosti hipoalergene diete pri zdravljenju otrok z eozinofilnim ezofagitisom
ID Raztresen, Lea (Author), ID Homan, Matjaž (Mentor) More about this mentor... This link opens in a new window

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Abstract
Namen magistrskega dela je bil oceniti uspešnost petih najpogostejših diet, ki se uporabljajo za zdravljenje slovenskih pediatričnih bolnikov z eozinofilnim ezofagitisom (EoE). V retrospektivno raziskavo je bilo vključenih 70 pediatričnih bolnikov, starih med 0,7 in 18,0 let (povprečna starost = 9,3 let, standardni odklon = 4,6 let), ki so bili med leti 2005 in 2019 na novo diagnosticirani z EoE. Za vsakega pediatričnega bolnika smo zabeležili demografske podatke, podatke o klinični sliki, zdravstveno anamnezo bolezni z alergijsko etiologijo, endoskopske in histološke značilnosti sluznice požiralnika, rezultate alergoloških testov, ter podatke o vrsti, trajanju in uspešnosti zdravljenja. Izmed vseh pediatričnih bolnikov vključenih v raziskavo, je bilo 49 pediatričnih bolnikov zdravljenih s hipoalergeno dieto (HD). Poznamo različne oblike HD, najpogostejše so: dieta z izločitvijo mleka vseh sesalcev (kravje, kozje, ovčje, kobilje, bivolje, oslovsko in kamelje mleko) oziroma krajše dieta brez kravjega mleka (KML), ciljana hipoalergena dieta zasnovana na podlagi alergoloških testov (CHD), dieta z izločitvijo 6 skupin živil, ki vsebujejo mleko, pšenico, jajca, sojo, oreške ali morsko hrano (dieta 6), elementarna dieta (ED) in dieta brez jajc. Skupini pediatričnih bolnikov z ED in dieto brez jajc smo zaradi majhnega vzorca izključili iz podrobnejše primerjave diet. Rezultati raziskave so pokazali, da je 57 % pediatričnih bolnikov (n = 28) s HD doseglo histološko remisijo. Izmed diet vključenih v HD je bila najuspešnejša dieta 6 (71 % uspešnost), sledila je dieta brez KML (54 % uspešnost) in CHD (50 % uspešnost). Iz rezultatov raziskave je razvidno, da je uporaba HD uspešen način zdravljenja pediatričnih bolnikov z EoE. Poleg tega so rezultati pokazali, da med dieto brez KML, CHD in dieto 6, ni statistično značilnih razlik (p = 0,653) pri uspešnosti zdravljenja.

Language:Slovenian
Keywords:dietna prehrana, eozinofilni ezofagitis, diete, hipoalergena dieta, dieta z izločitvijo mleka, dieta z izločitvijo živil, dieta brez jajc
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:BF - Biotechnical Faculty
Publisher:[L. Raztresen]
Year:2020
PID:20.500.12556/RUL-121369 This link opens in a new window
UDC:613.2-053.4/.6:616.329
COBISS.SI-ID:33144835 This link opens in a new window
Publication date in RUL:07.10.2020
Views:2938
Downloads:544
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Secondary language

Language:English
Title:Hypoallergenic diets assessment for treatment effectiveness in children with eosinophilic esophagitis
Abstract:
The purpose of the research was to evaluate the effectiveness of the five most commonly used diets utilized to treat Slovenian pediatric patients with eosinophilic esophagitis (EoE). The retrospective study included 70 pediatric patients aged between 0,7 and 18,0 years (average age = 9,3 years, standard deviation = 4,57 years) who were diagnosed with EoE between 2005 and 2019. Demographic data, clinical picture, medical history, endoscopic and histological characteristics of the esophageal mucosa, results of allergy tests and data on the type, duration and success of treatment were recorded for each pediatric patient. Out of all the participants included in the study, 49 were treated with a hypoallergenic diet (HD). There are different forms of HD, most common are: diet excluding all mammalian milk (cow, goat, sheep, mare, buffalo, donkey and camel milk), shorter diet excluding milk, targeted hypoallergenic diet created on the basis of allergy tests (CHD), the six-food elimination diet that contains the most common allergens (diet 6), elemental diet (ED) and egg-free diet. The pediatric patient groups following ED or the egg-free diet were excluded from a more detailed diet comparison due to the small sample. The results of the study showed that 57% of pediatric patients (n = 28) following HD experienced hystologic remission. Among the diets included in HD, the most successful diet was diet 6 (71 % successfulness), followed by the diet excluding milk (54 % successfulness) and CHD (50 % successfulness). The results of the study prove that the use of HD is a successful way to treat pediatric patients with EoE. In addition, the results showed that there are no statistically significant differences (p = 0,653) between the diet excluding milk, CHD and diet 6 in treatment success.

Keywords:diet food, eosinophilic esophagitis, diets, hypoallergenic diet, milk elimination diet, elimination diet, egg-free diet

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