Nonesophageal Eosinophilic Gastrointestinal Disorders: Clinical Care and Future Directions

J Pediatr Gastroenterol Nutr. 2018 Sep;67(3):318-321. doi: 10.1097/MPG.0000000000002040.

Abstract

Eosinophilic gastrointestinal disorders are a set of conditions with a wide range of clinical manifestations and treatment modalities. The disorders are suspected to result from an abnormal inflammatory response to allergen (s), and individuals may develop a relapsing or chronic disease, if the allergen is not eliminated. Mechanisms of disease pathogenesis, including the humoral immune response, need to be fully elucidated. A variety of therapies are used, although there is a lack of well-defined randomized, prospective studies. Other therapeutic options are needed as the current treatments have potential concerns; elimination diets may impair a child's quality of life, and corticosteroids have adverse risks with long-term use. We review what is known about nonesophageal eosinophilic gastrointestinal disorders, and discuss research investigations which need to be conducted to facilitate diagnosis and enhance treatment methods.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Enteritis / diagnosis
  • Enteritis / physiopathology*
  • Enteritis / therapy*
  • Eosinophilia / diagnosis
  • Eosinophilia / physiopathology*
  • Eosinophilia / therapy*
  • Gastritis / diagnosis
  • Gastritis / physiopathology*
  • Gastritis / therapy*
  • Humans

Supplementary concepts

  • Eosinophilic enteropathy