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Table 3 Treatment strategies for eosinophilic gastritis

From: Eosinophilia in a patient with cyclical vomiting: a case report

Strategy

Intervention

Comments

Diet

elimination, food avoidance, elemental amino acid diet, total parenteral alimentation

allergic patient

allergic patient poor tolerance and cost only in severe patient

Antihelminthics

mebendazole, others

emperic trial, endemic areas

Mast cell stabilizer

cromoglycate sodium

allergic patient, anecdotal cases, administer QID, therapeutic trial

Glucocorticoids

prednisone or equivalent

lowest dose, taper, alternate day therapy, many adverse effects

Montelukast

tablet given once/day

leukotriene blocker, only anecdotal evidence

Ketotifen

available in Canada

investigational

Azathioprine

immunosupressive

bone marrow suppression

Others

cyclophosphamide, hydroxyurea, cyclosporine A

investigational

investigational

investigational

Biologicals

antibody to IL-5, antibody to CCR3, antibody to IgE

investigational

investigational

investigational (Food allergy)

Antibiotics

ciprofloxacin, metronidazole

for malabsorption bacterial overgrowth