title: Obscure gastrointestinal bleeding as first symptom of eosinophilic jejunitis in a liver transplant recipient: diagnosis and treatment with single balloon enteroscopy.
abstract: The small bowel is only partially accessible to traditional endoscopic techniques. The recently introduced push-and-pull enteroscopy technique allows endoscopists to examine the small bowel in its entirety and enables them to take biopsy specimens and administer treatment. We report the case of a liver transplant recipient presenting with obscure gastrointestinal bleeding, whose diagnosis of eosinophilic enteritis was achieved following a single balloon enteroscopy examination. The patient was discharged 3 days after endoscopic treatment. Eosinophilic enteritis is still not a well known disease. The modality of treatment was suggested by our endoscopic experience and not from codified guidelines. The patient's haemoglobin value was normal 12 months after treatment.
authors.affiliation: Catholic University, Rome, Endoscopic Unit, Largo A. Gemelli, 8, Roma, 00168, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Urgesi
authors.forename: Maria Elena
authors.initials: ME
authors.lastname: Riccioni
authors.forename: Enrico C
authors.initials: EC
authors.lastname: Nista
authors.forename: Raffaella
authors.initials: R
authors.lastname: Lionetti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tisone
authors.forename: Pietro
authors.initials: P
authors.lastname: Familiari
authors.forename: Riccardo
authors.initials: R
authors.lastname: Ricci
authors.forename: Giorgio
authors.initials: G
authors.lastname: Pelecca
authors.forename: Mario
authors.initials: M
authors.lastname: Angelico
authors.forename: Guido
authors.initials: G
authors.lastname: Costamagna