Pathophysiology of Non-Esophageal Eosinophilic Gastrointestinal Disorders

Immunol Allergy Clin North Am. 2024 May;44(2):299-309. doi: 10.1016/j.iac.2024.01.003. Epub 2024 Feb 20.

Abstract

Eosinophilic gastrointestinal disorder (EGID) is an umbrella term encompassing a group of chronic, immune-mediated disorders characterized by eosinophil-rich inflammation affecting one or more segments of the gastrointestinal tract. A recent consensus in nomenclature and emerging data made possible through multi-center consortia are beginning to unravel the molecular and cellular underpinnings of EGIDs below the esophagus. These emerging findings are revealing both overarching commonalities related to a food allergen-driven, chronic, Th2-mediated immune response as well as location-specific nuances in the pathophysiology of the collective EGIDs. Altogether, these advances offer promise for improved diagnoses and more efficacious interventional strategies.

Keywords: Eosinophilic colitis (EoC); Eosinophilic duodenitis (EoD); Eosinophilic enteritis (EoN); Eosinophilic gastritis (EoG); Eosinophilic gastroenteritis; Eosinophilic gastrointestinal disorder (EGID).

Publication types

  • Review

MeSH terms

  • Enteritis* / diagnosis
  • Enteritis* / therapy
  • Eosinophilia* / diagnosis
  • Eosinophilic Esophagitis* / diagnosis
  • Eosinophilic Esophagitis* / therapy
  • Gastritis* / diagnosis
  • Humans

Supplementary concepts

  • Eosinophilic enteropathy