Objective To analyze the clinical, endoscopic and histopathological features of eosinophilic gastroenteritis ( EG) in children. Methods A retrospective study of 76 children with EG was performed to analyze clinical symptoms, laboratory and imaging results, endoscopic and pathological features, status of Helicobacter pylori ( H. pylori) infection, treatment and outcomes. Results The main clinical symptoms were abdominal pain in 55. 3%(42/76) cases, vomiting in 39. 5% (30/76) cases and hematochezia in 38. 2% cases( 29/76) . The hemoglobin level decreased significantly in 34 cases ( 44. 7%, 34/76). Peripheral blood eosinophil (EOS) count increased significantly in 9 cases (11. 8%,9/76) and EOS percentage increased significantly in 13 cases(17. 1%,13/76). Total serum IgE elevated in 32 cases ( 54. 2%, 32/59 ) . There were also 18 cases ( 36. 7%, 18/49 ) positive in serum allergen?specific immunoglobulin E ( sIgE) test and 25 cases ( 32. 9%,25/76) positive in fecal occult blood test. Among 51 cases of abdominal ultrasound examination, there were 7 cases of ascites, 4 cases of pelvis fluid and 3 cases of intestinal wall change. Endoscopic examination in 76 cases showed 63 cases ( 82. 9%) of mucosal hyperemia/edema,20 cases ( 26. 3%) of ulceration, 17 cases ( 22. 4%) of erosion, 11 cases ( 14. 5%) of nodularity or hyperplasia and 9 cases ( 11. 8%) of normal mucosa. The pathological examination showed mucosal inflammation with a large number of EOS infiltration(≥20 per HPF).There were 12 cases(15. 8%, 12/76) of H. pylori infection. Among the 76 cases, clinical symptoms improved significantly in 74 patients after treatment with dietary allergen avoidance, anti?allergy medications, antacids, montelukast and corticosteroid, and the total efficacy was 97. 4%. The efficacy of dietary allergen avoidance, anti?allergy medications, antacids and montelukast was 93. 8%( 61/65 ) . The efficacy of corticosteroid was 86. 7%(13/15). Conclusion The clinical manifestations and endoscopic characteristics of EG in children lack specificity. In terms of diagnosis, the elevated total serum IgE and the positive sIgE test may be taken as reference for the diagnosis of EG. The definite diagnosis is based on pathological examination ( EOS infiltration≥20 per HPF).While in terms of treatment, dietary allergen exclusion, anti?allergy medications, antacids and montelukast are highly effective, which can be taken as the first option. There is no need of corticosteroid as routine therapy.

Objective To investigate the correlation between mutiple-voxel magnetic resonance spectroscopy (1H-MRS) parameter choline/creatine (Cho/Cr) and distribution of glioma stem cells (GSCs). Methods Sixteen patients with high-grade glioma approved by pathology, admitted to our hospital form August 2012 and March 2015, were enrolled in our study. They were performed 1H-MRS before surgery, and apparently different regions of Cho/Cr were identified. With the help of intraoperative neuronavigation, different Cho/Cr tissue samples were gained accurately (Cho/Cr hypermetabolism group and Cho/Cr hypometabolism group). The different distribution of glioma stem cells in glioma tissues of the two groups was detected via neurosphere culture; immunohistochemistry and Western blotting were employed to detect the CD133 and nestin expressions. Results Neurospheres were successfully cultured from different glioma tissues, and the sphere formation rate from Cho/Cr hypermetabolism group was significantly higher as compared with that from Cho/Cr hypometabolism group (13.94±3.55 vs. 8.04± 1.47, P<0.05). The immunohistochemistry results indicated that the expressions of CD133 and nestin in the Cho/Cr hypermetabolism group were significantly higher as compared with those in the Cho/Cr hypometabolism group ([22.96±2.28]% vs. [18.04±1.36]%, [25.47±2.43]% vs. [19.74±1.66]%, P<0.05). Western blotting showed that the relative protein expressions of CD133 and nestin in the Cho/Cr hypermetabolism group were significantly higher as compared with those in the Cho/Cr hypometabolism group (0.50±0.17 vs. 0.30±0.08, 0.45±0.13 vs. 0.27±0.07, P<0.05); and the protein expressions of CD133 and nestin were positively correlated with Cho/Cr (r=0.972, P=0.000; r=0.762, P=0.000). Conclusion 1H-MRS parameter Cho/Cr reveals the distribution differences of cancer stem cells in high-grade gliomas, which can assist in finding and resecting the glioma stem cells-rich region.