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2015, Number 4

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Acta Med 2015; 13 (4)

Eosinophilic gastroenteritis

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

Language: Spanish
References: 50
Page: 238-243
PDF size: 1629.23 Kb.


ABSTRACT

Eosinophilic gastroenteritis is an inflammatory disorder characterized by eosinophilic infiltration of the stomach and duodenum, and, in some cases, the esophagus and colon; it is a rare disorder that typically presents in the third decade. The pathogenesis of EG is not well understood, but epidemiologic and clinical features suggest an allergic component. EG should be suspected in a patient with abdominal pain, nausea, vomiting, early satiety, diarrhea, weight loss, or ascites that are associated with peripheral eosinophilia and/or a history of food allergy or food intolerance. Its natural history is not well defined. Clinical findings are related to the location and spread of intestine affected by eosinophilic infiltration. Diagnosis depends on the presence of gastrointestinal tract eosinophilic infiltration in biopsy and/or ascites fluid, with absence of eosinophilia in other organs. Treatment is established with diet and steroids, but with limited evidence on symptoms severity and malabsorption presence.


REFERENCES

  1. Rothenberg ME. Eosinophilic gastrointestinal disorders. J Allergy Clin Immunol. 2004; 113: 11-16.

  2. Méndez SN, Chávez TN, Vázquez EG, Uribe M. Eosinophilic gastroenteritis: a review. Dig Dis Sci. 2007; 52: 2904-2911.

  3. Oh HE, Chetty R. Eosinophilic gastroenteritis: a review. J Gastroenterol. 2008; 42: 741-750.

  4. Kaijser R. Allergic disease of the gut from the point of view of the surgeon. Arch Klin Chir. 1937; 188: 36-64.

  5. Khan S, Kandula L, Orenstein SR. Educational clinical case series in pediatric allergy and immunology. Pediatr Allergy Immunol. 2007; 18: 629-639.

  6. Méndez SI, Rivera IR, Ubiña AE, Vera RF, Fernández PF, Navarro JJ et al. Diferentes formas de presentación de una misma entidad clínica: gastroenteritis eosinofílica. Gastroenterol Hepatol. 2007; 30: 19-21.

  7. Neha A, Usha K, Rohini S, Dhamayanthi S. Eosinophilic gastroenteritis: a diagnosis behind the curtains. J Clin Diagn Res. 2012; 6: 1789-1790.

  8. Khan S. Eosinophilic gastroenteritis. Best Pract Res Clin Gastroenterol. 2005; 19: 177-198.

  9. Menard KC, Furuta GT. Non and semi-invasive methods of monitoring eosinophilic esophagitis. Dig Dis. 2014; 32: 102-106.

  10. Simoniuk U, McManus C, Kiire C. Eosinophilic gastroenteritis: a diagnostic enigma. BMJ Case Rep. 2012; 2012. pii: bcr1220115436. doi: 10.1136/bcr.12.2011.5436.

  11. Spergel JM, Book WM, Mays E et al. Variation in prevalence, diagnostic criteria, and initial management options for eosinophilic gastrointestinal diseases in the United States. J Pediatr Gastroenterol Nutr. 2011; 52: 300-306.

  12. Prussin C, Lee J, Foster B. Eosinophilic gastrointestinal disease and peanut allergy are alternatively associated with IL-5+ and IL-5(-) T (H) 2 responses. J Allergy Clin Immunol. 2009; 124: 1326-1330.

  13. Hogan SP, Mishra A, Brandt EB et al. A critical role for eotaxin in experimental oral antigen-induced eosinophilic gastrointestinal allergy. Proc Natl Acad Sci USA. 2000; 97: 6681-6685.

  14. Kim NI, Jo YJ, Song MH et al. Clinical features of eosinophilic gastroenteritis [in Korean]. Korean J Gastroenterol. 2004; 44: 217-223.

  15. Von Wattenwyl F, Zimmermann A, Netzer P. Synchronous first manifestation of idiopathic eosinophilic gastroenteritis and bronchial asthma. Eur J Gastroenterol Hepatol. 2001; 13: 721-725.

  16. Tien FM, Wu JF, Jeng YM, Hsu HY, Ni YH, Chang MH et al. Clinical features and treatment responses of children with eosinophilic gastroenteritis. Pediatr Neonatol. 2011; 52: 272-278.

  17. Chang JY, Choung RS, Lee RM et al. A shift in the clinical spectrum of eosinophilic gastroenteritis toward the mucosal disease type. Clin Gastroenterol Hepatol. 2010; 8: 669-672.

  18. Zhang L, Duan L, Ding S, Lu J, Jin Z, Cui R et al. Eosinophilic gastroenteritis: clinical manifestations and morphological characteristics, a retrospective study of 42 patients. Scand J Gastroenterol. 2011; 46: 1074-1080.

  19. Lladó A, Oliveira J, Silva P, Pinheiro S. Eosinophilic enteritis: a rare cause of diarrhoea. BMJ Case Rep. 2013; 2013. pii: bcr2013201125. doi: 10.1136/bcr-2013-201125.

  20. Khan F, Chaudhry MA, Nusrat S, Qureshi N, Ali T. Constipation –another manifestation of eosinophilic gastroenteritis. J Okla State Med Assoc. 2012; 105: 134, 136.

  21. Siewert E, Lammert F, Koppitz P, Schmidt T, Matern S. Eosinophilic gastroenteritis with severe protein-losing enteropathy: successful treatment with budesonide. Dig Liver Dis. 2006; 38: 55-59.

  22. Lin HH, Wu CH, Wu LS, Shyu RY. Eosinophilic gastroenteritis presenting as relapsing severe abdominal pain and enteropathy with protein loss. Emerg Med J. 2005; 22: 834-835.

  23. Chen MJ, Chu CH, Lin SC et al. Eosinophilic gastroenteritis: clinical experience with 15 patients. World J Gastroenterol. 2003; 9: 2813-2816.

  24. Charalabopoulos A, Charalabopoulos K, Avuzuklidou M, Charalabopoulos AK, Ioachim E, Lebren F et al. Eosinophilic gastroenteritis: presentation of two patients with inusual affection of terminal ileum and caecum with manifestations of acute abdomen and literature review. Int J Clin Pract. 2004; 58: 413-416.

  25. Holroyd DJ, Banerjee S, Chaudhary KS, Reshamwalla S, Vijay V, Ward MW. Transmural eosinophilic gastritis with gastric outlet obstruction: case report and review of the literature. Ann R Coll Surg Engl. 2010; 92: W18-20.

  26. Shweiki E, West JC, Klena JW, Kelley SE, Colley AT, Bross RJ et al. Eosinophilic gastroenteritis presenting as an obstructing cecal mass –a case report and review of the literature. Am J Gastroenterol. 1999; 94: 3644-3645.

  27. Gupta P, Singla R, Kumar S, Singh N, Nagpal P, Kar P. Eosinophilic ascites. A rare presentation of eosinophilic gastroenteritis. J Assoc Physicians India. 2012; 60: 53-55.

  28. Kodan P, Shetty MA, Pavan MR, Kariappa A, Mahabala C. Acute eosinophilic ascites: an unusual form of an unusual case. Trop Doct. 2015; 45: 39-41.

  29. Zou HB, Chen JM, Du Q. Eosinophilic gastroenteritis with ascites and hepatic dysfunction. World J Gastroenterol. 2007; 13: 1303-1305.

  30. Lyngbaek S, Adamsen S, Aru A, Bergenfeldt M. Recurrent acute pancreatitis due to eosinophilic gastroenteritis. Case report and literature review. JOP. 2006; 7: 211-217.

  31. Han SG, Chen Y, Qian ZH, Yang L, Yu RS, Zhu XL et al. Eosinophilic gastroenteritis associated with eosinophilic cystitis: computed tomography and magnetic resonance imaging findings. World J Gastroenterol. 2015; 21: 3139-3145.

  32. Zhou HC, Lai C, Yang L. Eosinophilic gastroenteritis with involvement of the urinary bladder. Pediatr Radiol. 2014; 44: 1454-1457.

  33. Fenoglio LM, Benedetti V, Rossi C, Anania A, Wulhfard K, Trapani M et al. Eosinophilic gastroenteritis with ascitis: a case report and review of the literature. Dig Dis Sci. 2003; 48: 1013-1020.

  34. Vitellas KM, Bennett WF, Bova JG, Johnson JC, Greenson JK, Caldwell JH. Radiographic manifestations of eosinophilic gastroenteritis. Abdom Imaging. 1995; 20: 406-413.

  35. Sharaf RN, Shergill AK, Odze RD, Krinsky ML, Fukami N, Jain R et al. Endoscopic mucosal tissue sampling. Gastrointest Endosc. 2013; 78: 216-224.

  36. Fernández HL, Lado LF, Fernández SJ, Macias GF, Van Den Eynde CA. Gastroenteritis eosinofílica. Revisión a propósito de dos nuevos casos. Galicia Clin. 2010; 71: 125-128.

  37. Leal R, Fayad L, Vieira D, Figueiredo T, Lopes A, Carvalho R et al. Unusual presentations of eosinophilic gastroenteritis: two case reports. Turk J Gastroenterol. 2014; 25: 323-329.

  38. Milić S, Poropat G, Malić D, Stimac D. A case of postpartum eosinophilic gastroenteritis and review of the literature. Dig Dis. 2012; 30: 232-235.

  39. Mais L, Galoo E, Nibaud A, Barba T, Pasquet F, Pavic M. Complicated course of eosinophilic gastroenteritis: a case report and literature review. Rev Med Interne. 2014; 35: 683-685.

  40. Chehade M, Magid MS, Mofidi S et al. Allergic eosinophilic gastroenteritis with protein-losing enteropathy: intestinal pathology, clinical course, and long-term follow-up. J Pediatr Gastroenterol Nutr. 2006; 42: 516-521.

  41. Kagalwalla AF, Sentongo TA, Ritz S et al. Effect of six-food elimination diet on clinical and histologic outcomes in eosinophilic esophagitis. Clin Gastroenterol Hepatol. 2006; 4: 1097-1101.

  42. Spergel JM, Shuker M. Nutritional management of eosinophilic esophagitis. Gastrointest Endosc Clin N Am. 2008; 18: 179-182.

  43. Liacouras CA, Furuta GT, Hirano I, Atkins D, Attwood SE, Bonis PA et al. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011; 128: 3-20.

  44. Tan AC, Kruimel JW, Naber TH. Eosinophilic gastroenteritis treated with non-enteric-coated budesonide tablets. Eur J Gastroenterol Hepatol. 2001; 13: 425-428.

  45. Van Dellen RG, Lewis JC. Oral administration of cromolyn in a patient with protein-losing enteropathy, food allergy, and eosinophilic gastroenteritis. Mayo Clin Proc. 1994; 69: 441-443.

  46. Bolukbas FF, Bolukbas C, Uzunkoy A et al. A dramatic response to ketotifen in a case of eosinophilic gastroenteritis mimicking abdominal emergency. Dig Dis Sci. 2004; 49: 1782-1785.

  47. Quack I, Sellin L, Buchner NJ et al. Eosinophilic gastroenteritis in a young girl –long term remission under Montelukast. BMC Gastroenterol. 2005; 5: 24-27.

  48. Shirai T, Hashimoto D, Suzuki K et al. Successful treatment of eosinophilic gastroenteritis with suplatast tosilate. J Allergy Clin Immunol. 2001; 107: 924-928.

  49. Kim YJ, Prussin C, Martin B et al. Rebound eosinophilia after treatment of hypereosinophilic syndrome and eosinophilic gastroenteritis with monoclonal anti-IL-5 antibody SCH55700. J Allergy Clin Immunol. 2004; 114: 1449-1452.

  50. Foroughi S, Foster B, Kim NY, Bernardino LB, Scott LM, Hamilton RG et al. Anti-IgE treatment of eosinophil associated gastrointestinal disorders. J Allergy Clin Immunol. 2007; 120: 594-601.




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