Eosinophilic gastroenteritis

Description:

The eosinophilic gastroenteritis is the rare disease which is characterized by the eosinophilic infiltration of digestive tract leading to emergence of the corresponding symptoms. Clinical displays of a disease depend on localization and depth of infiltration of an intestinal wall eosinophils. At the same time parasitic and various abenteric diseases, as a rule, are absent.

Symptoms of the Eosinophilic gastroenteritis:

The symptomatology of gastritis or gastroduodenit which disturbances of passability of a stomach or a small bowel join afterwards develops. Typical syndromes:

allergic - food, medicamentous (urticaria, hypostases, asthma);
painful - the constant or periodic pains arising right after food or through certain time (development of a stenosis at defeat of the gatekeeper depends on localization of granulomas);
dispeptic - heartburn, an eructation, abdominal distention;
intestinal - a frequent liquid chair with impurity of undigested food, slime, blood, are possible a gastromenia and intestines;
the general and hypovitaminic - weakness, an indisposition, decrease in working capacity, emaciation, an iron deficiency anemia; a syndrome of the broken intestinal absorption when involving in process of a small bowel.

Reasons of the Eosinophilic gastroenteritis:

The reasons of development of an eosinophilic gastroenteritis are unknown. More than 50% of patients in the anamnesis have atonic diseases. In certain cases local not allergic inflammatory reaction can be caused by some types of food or parasites.

Treatment of the Eosinophilic gastroenteritis:

If symptoms of a disease are caused by a certain type of products, they have to be excluded from a diet though most of patients of it do not do. For achievement of clinical remission use short, for 7-10 days, courses of treatment oral corticosteroid hormones (Prednisolonum on 20-40 mg daily). Periodic courses of treatment steroid hormones can be necessary at emergence of a recurrence of a disease, and some patients have to and to accept during remission corticosteroid hormones in small doses. At a part of patients therapy by kromolin-sodium gives good effect. Surgical intervention can be required at development of complications, such as perforation of a gut and intestinal impassability, and also at resistance to conservative therapy.