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2015, Número 4

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Acta Med 2015; 13 (4)


Gastroenteritis eosinofílica

Arellano-Aguilar G, Ramírez-Arias F, Aguirre-Trigueros J, Domínguez-Carrillo LG

Idioma: Español
Referencias bibliográficas: 50
Paginas: 238-243
Archivo PDF: 1629.23 Kb.


RESUMEN

La gastroenteritis eosinofílica es un trastorno inflamatorio del tubo digestivo caracterizado por infiltración eosinofílica del estómago y el duodeno y, en algunos casos, del esófago y el colon; es un trastorno poco común que se presenta en la tercera década. Su etiopatogenia y las características clínicas sugieren un componente alérgico. Debe sospecharse en pacientes con dolor abdominal, náuseas, vómitos, saciedad precoz, diarrea, pérdida de peso o ascitis que están asociados con eosinofilia periférica y/o antecedentes de alergia o intolerancia a algunos alimentos. Su historia natural no está bien definida. Los hallazgos clínicos están relacionados con la localización, amplitud y láminas del intestino afectadas por la infiltración de eosinófilos. El diagnóstico se basa en la presencia de infiltración eosinofílica del tracto gastrointestinal en la biopsia y/o líquido de ascitis, con ausencia de eosinofilia en otros órganos. El manejo con dieta y esteroides se basa en evidencia limitada en la severidad de los síntomas y la presencia de mala absorción.


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