Endoscopic characteristics, diagnosis and treatment of eosinophilic gastroenteritis (21 cases)
10.3969/j.issn.1007-1989.2018.01.018
- VernacularTitle:嗜酸粒细胞性胃肠炎内镜特征及诊治分析(附21例报道)
- Author:
Chun-Li CONG
1
;
Li-Ping WANG
;
Ping CHEN
Author Information
1. 内蒙古医科大学附属医院 消化内科
- Keywords:
eosinophilic gastroenteritis;
eosinophilic;
hormones
- From:
China Journal of Endoscopy
2018;24(1):88-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical manifestation of eosinophilic gastroenteritis, reduce the misdiagnosis rate, then improve the clinical diagnosis and treatment rate. Methods The clinical data of patients with eosinophilic gastroenteritis diagnosed and treated by digestive medicine from 2008 to 2016 were analyzed and summarized retrospectively. Results The final diagnosis of 21 patients with no specific clinical manifestations were manifested as abdominal pain, diarrhea, abdominal distension, with nausea, vomiting, etc, respectively. Most of them have the history of asthma, skin and drug or food allergy history. The clinical type was mainly mucosa type, 16 cases, 3 case were serosa and 2 cases were mixed type. Peripheral blood neutrophil percentage and eosinophil proportion increased; Some patients with bone marrow results suggested the bone marrow hyperplasia was active, increased proportion of eosinophils. Eosinophils increased in ascites test. Abdominal CT can also be seen thickening of the intestinal wall, showing ascites. Hormone therapy to 19 patients was effective. Conclusion Eosinophilic gastroenteritis is a cureable disease. Because of its clinical manifestation, it is necessary to get more knowledge and attention from clinicians and pathologists to diagnosis and treatment as soon as possible to avoid misdiagnosis.
