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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