Vitellas K M, Bennett W F, Bova J G, Johnson J C, Greenson J K, Caldwell J H
Department of Radiology, Ohio State University Medical Center, Columbus 43210, USA.
Abdom Imaging. 1995 Sep-Oct;20(5):406-13. doi: 10.1007/BF01213260.
Eosinophilic gastroenteritis (EG) is a rare inflammatory disease of unknown etiology, characterized by focal or diffuse eosinophilic infiltration of the gastrointestinal tract. Although little over 250 cases of EG have been reported in the literature, EG is probably more common than reports in the literature would indicate. A retrospective review of 25 patients with EG along with a review of the literature was done to identify clinical, laboratory, radiographic, and therapeutic features. An allergic disorder was present in 14 (56%) and a peripheral eosinophilia was present in 24 (96%) of our patients. The most common radiographic manifestations of the stomach and small bowel included stenosis and fold thickening, respectively. Thirteen patients had esophageal involvement, with the esophageal stricture being the most common abnormality found in these patients. Steroids produced a good therapeutic result in most patients; the remaining patients responded to cromolyn and/or surgery.
嗜酸性粒细胞性胃肠炎（EG）是一种病因不明的罕见炎症性疾病，其特征为胃肠道局灶性或弥漫性嗜酸性粒细胞浸润。尽管文献中报道的EG病例略超过250例，但EG可能比文献报道更为常见。我们对25例EG患者进行了回顾性研究，并复习了相关文献，以确定其临床、实验室、影像学及治疗特征。14例（56%）患者存在过敏性疾病，24例（96%）患者外周血嗜酸性粒细胞增多。胃和小肠最常见的影像学表现分别为狭窄和皱襞增厚。13例患者有食管受累，食管狭窄是这些患者中最常见的异常表现。大多数患者使用类固醇治疗效果良好；其余患者对色甘酸钠和/或手术治疗有反应。
