eosinophilic gastroenteritis
TRANSCRIPT
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DR. K. K. RAWALM.D. D.M.(GASTRO)
Consultant GastroenterologistMilestone Hospital Vidyanagar main roadRajkot (0281-2480843 / 44)
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EOSINOPHILIC GASTROENTERITIS (EG)
ESOPHAGITIS GASTRITIS ENTERITIS COLITIS
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DIAGNOSTIC CRITERIA
ABNORMAL GI SYMPTOMS (PAIN, DIARRHEA)
EOSINOPHILIC INFILTRATION > 20 / hpf INFILTRATION LIMITED TO GIT ONLYNO KNOWN CAUSE OF EOSINOPHILIA 80 % PERIPHERAL EOSINOPHILIA 50 % ATOPY (ASTHMA,FOOD
ALLERGY)
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INCIDENCE
M>F PEAK – 20 TO 50 YEARS MATHAN (1998 IJG)
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EOSINOPHILS CYTOKINES (IL-3,IL-4,IL-13) LEUKOTRIENE (C4) CHEMOKINES
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TYPES OF EG
MUCOSAL FORM MUSCULAR FORM SEROSAL FORM OVERLAP POSSIBLE
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MUCOSAL FORM
ALLERGY MOST COMMON VOMITING, ABDOMINAL PAIN DIARRHEA, MALABSORPTION BLOOD IN STOOL FAILURE TO THRIVE DELAYED PUBERTY / AMENORRHEA (AEC – 2000)
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MUSCULAR FORM ALLERGY LEAST COMMON
OBSTRUCTIVE SYMPTOMS PYLORIC STENOSIS INTESTINAL OBSTRUCTION
(PROXIMAL) (AEC – 1000)
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SEROSAL FORM
LEAST COMMON ASCITES –
EXUDATIVE/EOSINOPHILIC LEAKAGE OF FLUID (STERILE) ENTIRE GI WALL INVOLVED (AEC – 8000)
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DIAGNOSIS CBC - E >2000 (AEC) LOW IRON/ALBUMIN STOOL R/M IgE HIGH SKIN PRICK TEST
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DIAGNOSIS
BIOPSY 6 Bx FROM N/Abn AREA (PATCHY) > 20 E/hpf R/O VASCULITIS
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LAPAROSCOPY
FULL THICKNESS Bx IN OBSTRUCTIVE MASS LESION MIMICKING MALIGNANCY
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DIFFERENTIAL DIAGNOSIS PARASITE INFECTION CELIAC DISEASE VASCULITIS IBD GERD MASTEOCYTOSIS HES NEOPLASM
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TREATMENT
ELIMINATION DIET MILK WHEAT(GLUTEN) SOY EGG/BEEF ELEMENTAL DIET ( VARIABLE
EFFECT)
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DRUGS
STEROIDS PREDNISOLONE - 40 mg, 2-4Wk FLUTICASONE - 220mu puff/ bd BUDESONIDE CROMOLYN - 200 mg qid KETOTIFEN MONTILUKAST
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SURGERY
AVOIDED (PERSISTENT OBSTRUCTION)
RECURRENCES
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PROGNOSIS
MORTALITY – RARE MORBIDITY – MALNUTRITION OBSTRUCTION PERFORATION WAXING AND WANING COURSE RISK OF CANCER IS NOT
INCREASED
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