关键词: eosinophilic esophagitis eosinophilic gastritis eosinophilic gastroenteritis gastric outlet obstruction pyloric stenosis

来  源:   DOI:10.14309/crj.0000000000001292   PDF(Pubmed)

Abstract:
Eosinophilic gastritis is a gastrointestinal disorder characterized by eosinophilic infiltration in the gastric wall. We present a rare case of critical pyloric stenosis secondary to eosinophilic gastritis in a 16-year-old adolescent girl who presented with nausea, vomiting, early satiety, and abdominal pain. Abdominal computed tomography and subsequent esophagogastroduodenoscopy confirmed the anatomical diagnosis, but histological confirmation of the eosinophilic etiology was challenging. After an unsuccessful trial of high-dose systemic corticosteroids, a laparoscopic gastrojejunostomy was performed and long-term immunosuppression with mycophenolate mofetil was commenced.
摘要:
嗜酸性粒细胞性胃炎是一种以胃壁嗜酸性粒细胞浸润为特征的胃肠道疾病。我们介绍了一个罕见的病例,在一名16岁的青春期女孩中,继发于嗜酸性粒细胞性胃炎的严重幽门狭窄,该女孩表现为恶心。呕吐,早期饱腹感,和腹痛。腹部计算机断层扫描和随后的食管胃十二指肠镜检查证实了解剖学诊断,但是对嗜酸性粒细胞病因的组织学确认具有挑战性。在大剂量全身性皮质类固醇试验失败后,进行了腹腔镜胃空肠吻合术,并开始了霉酚酸酯的长期免疫抑制。
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