A patient with oeosinophilic gastroenteritis and severe malnutrition improved with home parenteral nutrition

Abstract

Oeosinophilic gastroenteritis is a chronic and rare disorder characterised by massive oeosinophilic tissue infiltration involving one or more segments of the digestive tract. The management of patients with oeosinophilic gastroenteritis is complex and the therapeutic response often poor. Here we discuss the clinical case and management of a 23-year-old man with oeosinophilic gastroenteritis since the first year of life and the decision to prescribe lifelong total parenteral nutrition.

Eosinophilic Gastroenteritis: Case Report and Review in Search for Diagnostic Key Points

“…In sum, in order to reach a diagnosis the following are required: (1) gastrointestinal symptoms, (2) eosinophilic infiltration in one or more segments of the gastrointestinal tract, by measuring the number of eosinophils under high power field view, without established threshold ranging from more than 20 to even more than 50 eosinophils, and (3) exclusion of other causes that course with eosinophilic intestinal infiltration [ 11 , 18 , 19 ].…”

“…Surgery becomes useful in cases of obstructive symptoms lacking improvement with medical treatment. Parental nutrition will be useful in cases where patient comorbidities exclude the enteral route [ 11 , 18 , 19 ].…”

Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

“…[1] The diagnostic requirements are as follows: (1) gastrointestinal symptoms, (2) eosinophilic infiltration in one or more segments of the gastrointestinal tract, and (3) exclusion of other causes of intestinal eosinophilia. [4][5][6] Eosinophilic peritonitis is a clinical manifestation of eosinophilic gastroenteritis involving the serosal layer which presents with isolated ascites or ascites with symptoms characteristic of mucosal or muscular EG. [7] The diagnostic feature is a marked eosinophilia, up to 88 percent, in the ascetic fluid.…”