Ehlers Danlos syndrome and gastrointestinal manifestations: a 20-year experience at Mayo Clinic

2015 ◽  
Vol 27 (11) ◽  
pp. 1657-1666 ◽  
Author(s):  
A. D. Nelson ◽  
M. A. Mouchli ◽  
N. Valentin ◽  
D. Deyle ◽  
P. Pichurin ◽  
...  
1992 ◽  
Vol 6 (3) ◽  
pp. 129-132
Author(s):  
I Al-Traif ◽  
L Jewell ◽  
ABR Thomson

A case of eosinophilic gastroenteritis in a patient with Ehlers-Danlos syndrome who presented with abdominal pain, vomiting, diarrhea and profound weight loss is presented. Because of inability to tolerate glucocorticosteroids, symptoms were treated with sodium chromoglycate and an elemental diet given by jejunostomy. The patient did well on this program. The gastrointestinal manifestations of eosinophilic gastroenteritis and Ehlers-Danlos syndrome are reviewed as well as the treatment modalities available for eosinophilic gastroenteritis.


2000 ◽  
Vol 51 (4) ◽  
pp. AB278
Author(s):  
Somprak Boonpongmanee ◽  
Thian Lok Tio ◽  
Richard S. Zubarick ◽  
William Mayoral ◽  
vICTOR Nwakwakwawa ◽  
...  

2020 ◽  
Vol 102 (1) ◽  
pp. e7-e11 ◽  
Author(s):  
IN Gerogiannis ◽  
ID Gkegkes ◽  
NJ Dempster ◽  
RS Gillies ◽  
B Sgromo

Ehlers–Danlos syndrome is a hereditary connective tissue disorder that has gastrointestinal manifestations in over 50% of its cases. We present the first case of bariatric surgery in a patient with Ehlers–Danlos syndrome and outline management challenges in the context of the relevant literature. A 56-year-old man with type IV Ehlers–Danlos syndrome and a body mass index of 41.8 kg/m2 was referred to the bariatric centre of the Churchill Hospital, Oxford, for consideration of surgery for morbid obesity. His comorbidity included type 2 diabetes, hypertension, dyslipidaemia and obstructive sleep apnoea. He underwent a laparoscopic Roux-en-Y gastric bypass. His initial recovery was uneventful and he was discharged on the first postoperative day. Six weeks later, he presented with 43.9% excess weight loss and improved glycaemic control. Three months postoperatively, however, he complained of dysphagia, regurgitation and postprandial pain. A barium meal and gastroscopy suggested the presence of a gastric diverticulum. A surgical exploration was planned. Intraoperative gastroscopy demonstrated an asymmetrical gastric pouch dilatation and the pouch was therefore refashioned laparoscopically. Despite the initial symptomatic relief, two months later he experienced retrosternal pain with progressive dysphagia. Since then, multiple endoscopic dilatations of the gastro-oesophageal junction have been performed for recurrence of symptoms. Finally, a laparoscopic hiatus hernia repair and adhesiolysis was performed resulting in complete relief of patient’s symptoms. Bariatric management of patients with Ehlers–Danlos syndrome can prove challenging. The bariatric team must implement a careful management plan including a detailed consent process, a tailored surgical intervention and a follow-up focused on potential gastrointestinal manifestations.


2016 ◽  
Vol 47 (S 01) ◽  
Author(s):  
M. Schroth ◽  
C. Reihle ◽  
M. Wachowsky ◽  
L. Travan ◽  
M. Buob ◽  
...  

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