Evanescent eosinophilic gastritis in recurrent Helicobacter pylori infection

Autor: Mukesh Nasa, Jignesh Patel, Ajay Choksey, Bhumit Patel, Aniruddha Phadke, Prabha Sawant
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Digestive Endoscopy, Vol 04, Iss 04, Pp 119-122 (2013)
Druh dokumentu: article
ISSN: 0976-5042
0976-5050
DOI: 10.4103/0976-5042.132420
Popis: Eosinophilic gastroenteritis is characterized histologically by eosinophilic infiltration of the gut wall and clinically manifests by gastrointestinal (GI) symptoms. A high index of suspicion is required for the early diagnosis of this uncommon disease in patients who have concomitant GI symptoms and peripheral eosinophilia. This unusual case who initially had duodenal ulcer with duodenal stenosis, responded to Helicobacter pylori treatment and dilatation. He was symptom free for 2 years. Subsequently, developed evanescent eosinophilic gastritis and recurrent H. pylori infection with refractory prepyloric ulceration, but no duodenal stenosis. Eosinophilic gastritis and H. pylori infection initially responded to treatment, but subsequently the patient developed nonhealing prepyloric ulcer and refractory H. pylori infection and had persistent symptoms; all these necessitated surgical intervention consisting of antrectomy with gastrojejunostomy.
Databáze: Directory of Open Access Journals