Eosinophilic Gastrointestinal Disorders: an Experience in a tertiary Care Rural Hospital

Background:Primary Eosinophilic Gastrointestinal Disorders are a rare entity with an obscure etiology. As simple as they sound, however, they require high degree of clinical suspicion as they can mimic various disorders of gastrointestinal tract. Here in we present our experience in a rural tertiary care hospital. Materials and Method:-All diagnosed cases of Eosinophilic gastrointestinal disorders from June 2009 to May 2014 were included in the study. The cases were studied according to the criteria led down by Talley et. al. Klein’s classification was used to segregate and study the cases. Result:We received four endoscopic biopsies; one from stomach and jejunum each; and two from ileum. Eleven appendicectomy and two hemicolectomy specimens respectively were also received by the Department of Pathology of our hospital. Majority of the cases showed mucosal involvement. Appendix was the most commonly affected organ. The overall response to treatment was better with a few exceptions. Conclusion:Primary Eosinophilic Gastrointestinal Disorders is a diagnosis of exclusion. Proper diagnostic modalities and high degree of suspicion is needed for precise diagnosis. Treatment modalities have bettered over the years with better patient response.