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Barium studies in diffuse eosinophilic gastroenteritis.

R L MacCarty1, N J Talley

  • 1Department of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota 55905.

Gastrointestinal Radiology
|January 1, 1990
PubMed
Summary
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Barium examinations revealed common findings in eosinophilic gastroenteritis, including thickened mucosal folds in the stomach and small intestine. New observations include gastric erosions, highlighting the varied gastrointestinal tract manifestations of this condition.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Eosinophilic gastroenteritis is an inflammatory condition affecting the gastrointestinal tract.
  • Radiological findings, particularly from barium examinations, are crucial for diagnosis.
  • Understanding the spectrum of barium findings is essential for accurate diagnosis and management.

Purpose of the Study:

  • To describe the barium examination findings in patients diagnosed with eosinophilic gastroenteritis.
  • To identify common and uncommon radiological features associated with this condition.

Main Methods:

  • Retrospective analysis of barium examinations from 20 patients with eosinophilic gastroenteritis.
  • Detailed review of radiological findings, focusing on mucosal fold abnormalities, erosions, and polyps.

Related Experiment Videos

Main Results:

  • Thickening of mucosal folds was the most frequent finding (stomach: 7, small intestine: 4, both: 2).
  • Nodular fold enlargement occurred in the stomach (3 cases) and small intestine (4 cases).
  • Multiple gastric erosions, previously unreported, were observed in 2 patients; one patient had antral polyps.

Conclusions:

  • Barium examinations can reveal characteristic findings in eosinophilic gastroenteritis, primarily mucosal fold thickening.
  • The presence of gastric erosions represents a novel finding in this condition.
  • While the stomach and small bowel are commonly affected, eosinophilic gastroenteritis can involve any part of the gastrointestinal tract.