Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Eosinophilic jejunitis is another little known immune based disorder in which the eosinophils (type of white blood cell) are concentrated in the jejunum; this is the middle of the small intestine. This causes inflammation, pain in the abdomen, and digestive complications that are not a result of an infection.
He analyses your diet, habits of your symptoms, allergy history and family history in order to identify potential triggers.
A scope is thoroughly inserted in the jejunum and this is examined, taking small tissue samples to check the number of eosinophils.
An analysis of eosinophils is conducted by blood and rules out the presence of infections and other inflammatory diseases.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
It is is usually induced by food allergies (dairy, wheat, soy) or genetic factors. The immune system is hyperreacting and it causes inflammation in the jejunum.
Dr. Chadha uses endoscopy with a biopsy, tests (CT or ultrasound) and blood samples in order to ensure that the eosinophils are increased and rules out the presence of infections.
No. Bacteria or viruses are the cause of infection. Eosinophilic jejunitis is an allergic inflammatory pathology, and its pathogenesis is premised on the substantial increase in the number of eosinophils.
It is managed through dietary and lifestyle changes (elimination diet, nutrition support, stress management, biologics, stress reduction) or pharmacotherapy (steroids, acid blockers, biologics, endoscopic dilation of strictures) when needed.
Yes. The elimination diet prepares the patients by eliminating the common triggers and foods are reintroduced one by one under the care of a supervisor.
Steroids are generally used in the treatment of inflammation and have a short-term effect. Its use is restricted to the long-term use; the exposure to steroids may be restricted through the other forms of therapy like biologics.
Surgery is rare. Strictures would be opened without surgery in case the intestine is narrow and in this case, endoscopic dilation can be done.
Most patients react to steroids by feeling symptom relief within days. The dividends of diet change may take several weeks to manifest fully.
Most insurances cover the corresponding tests and treatment. We will aid in billing and approvals in our team.
Yes. Children may develop eosinophilic jejunitis, especially where children have food allergies or other atopic diseases and it can be treated through the use of a tailor-made treatment regimen.
