"tickle me pink": Update in eosinophilic gastrointestinal disorders

Angela Y. Lam, Nirmala Gonsalves*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose of reviewEosinophilic gastrointestinal diseases (EGIDs) outside of the esophagus have been previously enigmatic and rare diagnoses. Fortunately, increasing research over the past few decades has led to an improved understanding of disease pathophysiology and epidemiology. This has been foundational for developing accurate nomenclature, diagnostic criteria, and therapeutics.Recent findingsThis article will review recent updates in nonesophageal EGIDs. Accurate disease classification and nomenclature developed from international consensus are now available, as well as data challenging the notion that abnormal endoscopic findings are rare in this population. Studies on natural history, outcomes, and impact on patient quality of life are reviewed. Lastly, retrospective studies and clinical trials on EGID therapies are summarized.SummaryWith a standardized nomenclature system for EGIDs now established, formal diagnostic guidelines and criteria for nonesophageal EGIDs are in active development. While management remains challenging compared with eosinophilic esophagitis, research and development of effective, steroid-sparing therapies (primarily through biologics and dietary therapy) remain underway. In eosinophilic colitis, the rarest EGID, research remains focused on illuminating pathophysiology. Ongoing research will continue to improve understanding of natural history, outcomes, and therapeutic options for these diseases.

Original languageEnglish (US)
Pages (from-to)36-42
Number of pages7
JournalCurrent Opinion in Gastroenterology
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2023

Keywords

  • Eosinophilic gastrointestinal disease
  • eosinophilic colitis
  • eosinophilic enteritis
  • eosinophilic gastritis
  • eosinophilic gastroenteritis

ASJC Scopus subject areas

  • Gastroenterology

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