Managing paediatric eosinophilic gastroenteropathies: a community experience

Case series KG, a 5 year old girl with daily abdominal pain, was diagnosed with eosinophilic esophagitis. Initial endoscopy revealed 20 eosinophils/hpf in the distal esophagus. Avoidance diet based on allergy testing was an ineffective treatment. An elemental diet of Neocate (8 weeks) resulted in resolution of symptoms and 0 eosinophils/hpf on repeat biopsy. She is currently on a gradual reintroduction diet. CD , an 11 year old boy with chronic diarrhea/constipation, abdominal pain and disruptive behaviour, was diagnosed with eosinophilic colitis. (60 eosinophils/hpf) An avoidance diet (8 weeks) based on allergy testing resulted in resolution of all abdominal symptoms and better behaviour. Repeat colonic biopsies revealed colonic eosinophils to be reduced back to normal limits. CD returned to normal diet, and symptoms have recurred. TD, a 9 year old boy with daily stomach aches and vomiting, was diagnosed with eosinophilic esophagitis (20 eosinophils/hpf). An avoidance diet based on allergy testing resulted in resolution of symptoms. Repeat biopsy is pending.