"Imaging Findings of Eosinophilic Gastrointestinal Diseases in Adults"

Curr Probl Diagn Radiol. 2023 Mar-Apr;52(2):139-147. doi: 10.1067/j.cpradiol.2022.11.010. Epub 2022 Nov 22.

Abstract

Eosinophilic gastrointestinal (GI) disorders are a group of conditions marked by pathologic eosinophilic infiltration of one or multiple locations in the GI tract. Conditions include eosinophilic esophagitis, eosinophilic gastritis, eosinophilic enteritis, and eosinophilic colitis. The site and depth of eosinophilic infiltration of the GI tract usually determines clinical presentation. These conditions should be considered in the differential diagnosis for several GI symptoms, such as food impaction or dysphagia. Histopathology is the gold standard for diagnosis of eosinophilic disorders. Nevertheless, findings from endoscopy, barium studies, computed tomography or magnetic resonance imaging, can aid in the diagnosis, by allowing for earlier diagnosis as well as proper management. Eosinophilic gastrointestinal disorders are typically managed with corticosteroids or dietary elimination. A high index of suspicion is required for diagnosis as it can often be challenging.

Publication types

  • Review

MeSH terms

  • Adult
  • Endoscopy, Gastrointestinal
  • Enteritis* / diagnostic imaging
  • Enteritis* / pathology
  • Eosinophilic Esophagitis* / diagnostic imaging
  • Gastritis* / diagnostic imaging
  • Gastritis* / pathology
  • Humans

Supplementary concepts

  • Eosinophilic enteropathy