Roentgen Studies of Children With Alimentary Disturbances Due to Food Allergy

Abstract

There are comparatively few reports in the literature dealing with roentgenographic visualization of the allergic gastro-intestinal tract.In 1915 Crispin1 observed roentgenologically in a patient suffering from hematemesis and intermittent abdominal pain a transient lesion at the pylorus; this lesion was found at operation to be due to angioneurotic edema. In 1917 Christian2 reported on two patients with abdominal pain simulating acute conditions requiring surgical intervention. Roentgen studies of one patient revealed pylorospasm, slow gastric emptying and atonic loops of small intestine, and studies of the other showed a transient sausage-like shadow produced by a narrowed distal loop of ileum. In 1921 Duke 3 observed an increase in the number and in the depth of peristaltic waves in the stomach and an increase in gastric tonicity during an attack of abdominal pain caused by sensitivity to rice. In 1927 Eyermann 4 studied roentgenologically a patient sensitive to wheat, after deliberate feeding of this food, and observed hypertonicity in the transverse and pelvic colon and hypotonicity in the cecum and ascending colon. In 1928 Vaughan 5 demonstrated a markedly spastic transverse colon in a food-sensitive patient. In 1931 Rowe 6 attributed colonie spasm, hyperperistalsis and other irregularities to sensitiveness of the intestinal tract to foods. He advised the use of allergen-free mixtures of barium sulfate in the routine examination of

Gastroesophageal Reflux and Cow Milk Allergy: Is There a Link?

“…56 More than 60 years ago, in 12 children with food allergy, a test meal containing the food allergen was shown, using fluoroscopy, to cause gastric hypotonia, pylorospasm, and alteration of intestinal peristalsis. 57 In 30 adult patients with proven food allergy, gastric biopsies taken during food challenge (also causing symptoms) showed a significant decrease in stained mast cells and tissue histamine. 58 Recently, gastric emptying was shown to be delayed in patients with CMA in comparison with control subjects and infants with GER.…”

Summary and Recommendations: Classification of Gastrointestinal Manifestations Due to Immunologic Reactions to Foods in Infants and Young Children

“…He then studied them radiographically, observing gastric retention, hypermotility of the intestine, and colonic spasm (2). In fluoroscopic studies by Fries and Zeiger of 12 food‐allergic children, the outcome of barium meals with and without food allergens were compared (3). The most prominent findings included gastric hypotonia and retention of the allergen test meal, prominent pylorospasm, and subsequent increased or decreased peristaltic activity of the intestines.…”

An Evaluation of Allergenic and Non-Allergenic Incitants of Gastro-intestinal Symptoms

“…Possible roentgenographic confirmation where comparative ingestion tests done with barium-allergen feedings versus barium controls reveal specific alterations in the pattern of the digestive tract frequently associated with the allergic gastro-intestinal re sponse (15,16).…”