Page 905 - medicina-integrativa_compress
P. 905
CAPÍTULO 86 REACCIONES ADVERSAS A ALIMENTOS Y DIETA DE EXCLUSIÓN 931
● Si se elimina un amplio número de grupos alimentarios 16. Vatn MH, Grimstad IA, Thorsen L, et al: Adverse reaction to food:
existe el riesgo de malnutrición. El médico debe asegu- Assessment by double-blind placebo-controlled food challenge and
rarse de que el paciente está recibiendo de forma ade- clinical, psychosomatic and immunologic analysis. Digestion 56:
421-428, 1995.
cuada fibra, nutrientes (incluyendo vitamina D y calcio 17. Teuber SS, Porch-Curren C: Unproved diagnostic and therapeutic
cuando se restringen los productos lácteos) y proteínas. approaches to food allergy and intolerance. Curr Opinion All
Debe controlarse el peso del paciente. Clin Immunol 3:217-221, 2003.
● El médico debe tener en cuenta las implicaciones socio- 18. Manahan B: Food allergy. In Rakel D (ed): Integrative Medicine.
económicas de la prescripción de una dieta de exclu- Philadelphia, Elsevier Science, 2003, pp 649-654.
sión: a) el coste puede convertirse en algo insoportable; 19. Johnson K: The Elimination Diet and Diagnosing Food
Hypersensitivities. In Rakel D (ed): Integrative Medicine.
por ejemplo, varias alternativas a los granos que contie- Philadelphia, Elsevier, 2003, pp 655-659.
nen gluten pueden ser bastante caras y difíciles de obte- 20. Kemp AS, Schembri G: An elimination diet for chronic urticaria of
ner, y b) los pacientes que siguen una dieta de exclusión childhood. Med J Aust 143:234-235, 1985.
están limitados a la hora de ir a restaurantes o a casa de 21. Moga MM: Alternative treatment of gallbladder disease. Med
amigos, a no ser que los que preparan los alimentos en- Hypotheses 60:143-147, 2003.
tiendan claramente las restricciones dietéticas. 22. Kneepkens CM, Jakobs C, Douwes AC: Apple juice, fructose, and
● Puede reducirse el disfrute de comer. 23 chronic nonspecific diarrhoea. Eur J Pediatr 148:571-573, 1989.
Carrocio A, Scalici C, Maresi E, et al: Chronic constipation and food
● Nunca hay que olvidar la probabilidad de que el pacien- intolerance: A model of proctitis causing constipation. Scan
te no cumpla la dieta; a menudo, esta probabilidad es J Gastroenterol 40:33-42, 2005.
muy elevada, en especial en las dietas prescritas a niños. 24. Lucarelli S, Corrado G, Pelliccia A, et al: Cyclic vomiting syndrome
and food allergy/intolerance in seven children: A possible
association. Eur J Pediatr 159:360-363, 2000.
El médico debe estar completamente alerta ante los 25. Oei HD, Pelikan-Filipek M, Pelikan Z, et al: Enuresis and encopresis
as a reaction to food. Ned Tijdschr Geneeskd 133:1555-1557, 1989.
posibles obstáculos en la prescripción de dietas de 26. Veien NK, Hattel T, Justesen O, et al: Oral challenge with food
exclusión. Debe tener en cuenta el cumplimiento del additives. Contact Derm 17:100-103, 1987.
paciente, su estado nutricional y el impacto psicosocial de 27. Candy S, Borok G, Wright JP, et al: The value of an elimination diet
este tipo de dietas. En general, si se utiliza juiciosamente, in the management of patients with ulcerative colitis. South African
la dieta de exclusión se asocia a un mínimo riesgo. Med J. 85:1176-1179, 1995.
28. Galandi D, Allgaierr HP: Diet therapy in chronic inflammatory
bowel disease: Results from meta-analysis and randomized
controlled trials. Schweiz Rund Med Prax 91:2041-2049, 2002.
29. Riordan AM, Hunter JO, Cowan RE, et al: Treatment of active
BIBLIOGRAFÍA Crohn’s disease by exclusion diet: East Anglian multi-center
controlled trial. Lancet 342:1131-1134, 1993.
1. Joneja JV: Dietary Management of Food Allergy and Intolerance, 30. Kokkonen J, Ruuska T, Karttunen TJ, et al: Mucosal pathology of
2nd ed. Vencouver, BC, Hall Publishing Group, 1998. the foregut associated with food allergy and recurrent abdominal
2. Bretthaurer G: A Miracle in Wisconsin. Nutritional Miracles pains in children. Acta Paediatr 90:16-21, 2001.
and Education, Public Announcement 72, October 14, 2002: 31. Miller K: Concomitant nonpharmacologic therapy in the treatment
www.path-to-health.com/index.php?pg=68/ of primary nocturnal enuresis. Clin Pediatr Spec No:32-37, 1993.
3. Klotter J: Nutrition, learning, and behavior—shorts. Townsend 32. Miller M: Diet and psychological health. Altern Ther Health Med
Letter for Doctors and Patients, 2003: http://www.findarticles.com/ 2:40-48, 1996.
p/articles/mi_m0ISW/is_243/ai_109946508/ 33. Lucarelli S, Frediani T, Zingoni AM, et al: Food allergy and infantile
4. Arora D, Kumar M: Food allergies: Leads from Ayurveda. Indian autism. Panminerva Med 37:137-141, 1995.
J Med Sci 57:57-63, 2003. 34. Kidd PM: Autism, an extreme challenge to integrative medicine. Part
5. Sampson HA: Update on food allergy. J Allergy Clin Immunol 2: Medical management. Altern Med Rev 7:472-499, 2002.
113:805-819, 2004. 35. Parker G, Watkins T: Treatment-resistant depression: When
6. Sampson HA, Sicherer SH, Birnbaum AH: AGA technical review on antidepressant drug intolerance may indicate food intolerance. Aust
the evaluation of food allergy in gastrointestinal disorders. N Z J Psychiatry 36:263-265, 2002.
Gastroenterology 120:1026-1040, 2001. 36. Lefevre F, Aronson N: Ketogenic diet for the treatment of refractory
© Elsevier. Es una publicación MASSON. Fotocopiar sin autorización es un delito.
7. Bjarnason I, MacPherson A, Hollander D: Intestinal permeability: epilepsy in children: A systematic review of efficacy. Pediatrics
An overview, Gastroenterology 108:1566-1581, 1995. 105:E46, 2000.
8. Hollander D: Intestinal permeability, leaky gut, and intestinal 37. Hay KD, Reade PC: The use of an elimination diet in the treatment
disorders. Curr Gastroenterol Rep 1:410-416, 1999. of recurrent aphthous ulceration of the oral cavity. Oral Surg Oral
9. Nejdfors P, Ekelund M, Westrom BR, et al: Intestinal permeability Med Oral Pathol 57:504-507, 1984.
in humans is increased after radiation therapy. Dis Colon Rectum 38. Farchi S, Forastiere F, Agabiti N, et al: Dietary factors associated
43:1582-1587, 2000. with wheezing and allergic rhinitis. Eur Resp J 22:772-780, 2003.
10. Iwata H, Matsushi M, Nishikimi N, et al: Intestinal permeability 39. Ogle KA, Bullock JD: Children with allergic rhinitis and or bronchial
is increased in patients with intermittent claudication. J Vasc Surg asthma treated with elimination diet: A five-year follow-up. Ann
31:1003-1007, 2000. Allergy 44:273, 1980.
11. Yacyshyn B, Meddings J, Sadowski D, et al: Multiple sclerosis 40. Novembre E, Martino M, Vierrucci A: Foods and respiratory allergy.
patients have peripheral blood CD45RO+ B cells and increased J Allergy Clin Immunol 81:1059-1065, 1988.
intestinal permeability. Dig Dis Sci 41:2493-2498, 1996. 41. Asero R: Food additives intolerance: Does it present as perennial
12. Keshavarzian A, Holmes EW, Patel M, et al: Leaky gut in alcoholic rhinitis? Curr Opin Allergy Clin Immunol 4:25-29, 2004.
cirrhosis: A possible mechanism for alcohol-induced liver damage, 42. Locan AC, Wong C: Chronic fatigue syndrome: Oxidative stress
Am J Gastroenterol 94:200-2007, 1999. and dietary modifications. Altern Med Rev 6:450-459, 2001.
13. Bock SA, Sampson HA, Atkins FM, et al: Double-blind, 43. Morris DH, Stare FJ: Unproven diet therapies in the treatment of
placebo-controlled food challenge (DBPCFC) as an office procedure: the chronic fatigue syndrome. Arch Fam Med 2:181-186, 1993.
A manual. J Allergy Clin Immunol 82:986-987, 1988. 44. Patavino T, Brady DM: Natural medicine and nutritional therapy
14. Pastorello EA, Pravettoni V, Stocchi L, et al: Are double-blind as an alternative treatment in systemic lupus erythematosus.
food challenges necessary before starting an elimination diet? Altern Med Rev 6:460-471, 2001.
Allergy Proc 2:319-325, 1991. 45. David TH: Behaviour problems. In David TH (ed): Food and Food
15. Sicherer SH: Manifestations of food allergy: Evaluation and Additive Intolerance in Childhood. Blackwell Scientific Publications,
management. Am Fam Physician 59:415-424, 429-430, 1999. 1993, pp 420-437.