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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 4/2018

01-04-2018 | GI Image

Duodenal Crohn’s Disease—a Diagnostic Conundrum

Authors: Amy L. Lightner, Joel G. Fletcher

Published in: Journal of Gastrointestinal Surgery | Issue 4/2018

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Abstract

Gastroduodenal Crohn’s disease is rare as most often the disease is found in the terminal ileum and colon rather than the upper gastrointestinal tract. The most common phenotype is stricturing disease which can lead to obstructive-like symptoms. Medical treatment options include proton pump inhibitors and biologic therapy. Endoscopic and surgical intervention may be needed to relieve the obstructive-like symptoms from the stricturing phenotype.
Literature
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Reynolds HL, Jr., Stellato TA. Crohn’s disease of the foregut. Surg Clin North Am. 2001;81:117–35, viii.CrossRefPubMed
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Ingle SB, Adgaonkar BD, Jamadar NP, et al. Crohn’s disease with gastroduodenal involvement: diagnostic approach. World J Clin Cases. 2015;3:479–83.CrossRefPubMedPubMedCentral
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Loftus EV, Jr. Upper gastrointestinal tract Crohn’s disease. Clin Perspect Gastroenerol. 2002;5:188–91.
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Yamamoto T, Bain IM, Connolly AB, et al. Outcome of strictureplasty for duodenal Crohn’s disease. Br J Surg. 1999;86:259–62.CrossRefPubMed
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Worsey MJ, Hull T, Ryland L, et al. Strictureplasty is an effective option in the operative management of duodenal Crohn’s disease. Dis Colon Rectum. 1999;42:596–600.CrossRefPubMed
Metadata
Title
Duodenal Crohn’s Disease—a Diagnostic Conundrum
Authors
Amy L. Lightner
Joel G. Fletcher
Publication date
01-04-2018
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 4/2018
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-017-3591-y

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