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Eosinophilic esophagitis has association with the childbirth type


MOJ Anatomy & Physiology
Marilia Porto Oliveira Nunes,1,2 Caroline Rolim Bezerra,2 Jéssica Lima Soares,2 Júlio César Chaves Nunes Filho,3 Hildênia Baltasar Ribeiro,2 Amália Maria Porto Lustosa2

Abstract

The objective of this study was to identify the relationship between the type of childbirth and the prognosis of eosinophilic esophagitis in cow's milk protein allergy. A cross-sectional, quantitative, descriptive and analytical study with 141 children aged 0-5 years, diagnosed with cow's milk protein allergy at a tertiary-level Infant Institutional Hospital. We collected in the Hospital information’s about Sociodemographic, anthropometric data, food consumption, specific allergic alterations of eosinophilic esophagitis and type of delivery. The sample consisted of 113 children with a mean age of 12 months, most of them female (59.6%). The type of delivery was associated with eosinophilic esophagitis; about 83.5% of the diagnosed children were born of cesarean delivery. It was verified the presence of vomiting, diarrhea and predominant abdominal pain in males. Weight loss was a prevalent symptom in females. The confidence interval was 95%, which reflected the value of p=0.05. Individuals born with cesarean delivery can manifest exacerbated immune reactions, unlike those born by normal delivery. We suggest additional studies with nutritional interventions relating nutritional status, breastfeeding, the onset of infant formula and complementary food with eosinophilic esophagitis.

Keywords

food allergy, food, food hypersensitivity, cow milk, diarrhea, nutritional status, breastfeeding, urticaria, hypotension or shock, anaphylaxis, breast milk, esophageal tube, allergic rhinitis, atopic dermatitis, energy supply

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