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Esophageal manifestations of Crohn's disease

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Abstract

Two patients with concurrent esophagitis and ileocolitis due to Crohn's disease are presented. The initial feature of esophageal involvement was dysphagia caused by severe inflammation of the distal esophagus with mucosal ulcerations and polypoid folds. Long-term observation of both cases revealed a gradually progressive course leading to development of rigid esophageal stricture, intramural sinus tract, and esophagobronchial or esophagogastric fistulas. The clinical and radiographic manifestations of Crohn's esophagitis in these 2 patients and in 18 previously reported cases are reviewed.

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References

  1. Bagby RJ, Rogers JV Jr, Hobbs C: Crohn's disease of the esophagus, stomach and duodenum: a review with emphasis on the radiographic findings.South Med J 65:515–523, 1972

    Google Scholar 

  2. Cohen WN: Gastric involvement in Crohn's disease.AJR 101:425–430, 1976

    Google Scholar 

  3. Danzi JT, Farmer RG, Sullivan BH Jr, Rankin GB: Endoscopic features of gastroduodenal Crohn's disease.Gastroenterology 70:9–13, 1976

    Google Scholar 

  4. Haggitt RC, Meissner WA: Crohn's disease of the upper gastrointestinal tract.Am J Clin Pathol 59:613–622, 1973

    Google Scholar 

  5. Crohn BB, Ginzburg L, Oppenheimer GD: Regional ileitis: a pathologic and clinical entity.JAMA 99:1323–1329, 1932

    Google Scholar 

  6. Farman J, Faegenburg D, Dallemand S, Chen CK: Crohn's disease of the stomach: the “ram's horn” sign.AJR 123:242–251, 1975

    Google Scholar 

  7. Thompson WM, Cockrill H Jr, Rice RP: Regional enteritis of the duodenum.AJR 123:252–261, 1975

    Google Scholar 

  8. Cynn WS, Chon H, Gureghian PA, Levin BL: Crohn's disease of the esophagus.AJR 125:359–364, 1975

    Google Scholar 

  9. Dyer NH, Cook PL, Kemp Harper RA: Oesophageal stricture associated with Crohn's disease.Gut 10:549–554, 1969

    Google Scholar 

  10. Franklin RH, Taylor S: Nonspecific granulomatous (regional) esophagitis.J Thorac Cardiovasc Surg 19:292–291, 1950

    Google Scholar 

  11. Frohlich H, Huchzermeyer H, Stender H St: Roentgenologic finding in regional esophagitis due to Crohn's disease.Fortschr Roentgenstr 125:497–500, 1976

    Google Scholar 

  12. Gelfand MD, Krone CL: Dysphagia and esophageal ulceration in Crohn's disease.Gastroenterology 55:510–514, 1968

    Google Scholar 

  13. Heffernon EW, Kepkay PH: Segmental esophagitis, gastritis and enteritis.Gastroenterology 26:83–88, 1954

    Google Scholar 

  14. Lee CS, Mangla JC, Lee SS: Crohn's disease in Barrett's esophagus.Am J Gastroenterol 69:646–654, 1978

    Google Scholar 

  15. LiVolsi VA, Jaretzki A III: Granulomatous esophagitis. A case of Crohn's disease limited to the esophagus.Gastroenterology 64:313–319, 1973

    Google Scholar 

  16. Madden JL, Ravid JM, Haddad JR: Regional esophagitis: a specific entity simulating Crohn's disease.Ann Surg 170:351–367, 1969

    Google Scholar 

  17. Miller LJ, Thistle JL, Payne WS, Gaffey TA, O'Duffy JD: Crohn's disease involving the esophagus and colon. Case report.Mayo Clin Proc 52:35–38, 1977

    Google Scholar 

  18. Turina M, Schamaun M, Waldvogel W: Crohn's disease of the oesophagus.German Med Monthly 14:49–50, 1969

    Google Scholar 

  19. Christopher NL, Watson DW, Farber EW: Relationship of chronic ulcerative esophagitis to ulcerative colitis.Ann Intern Med 70:971–916, 1969

    Google Scholar 

  20. Lebwohl O, Forde KA, Berdon WE, Morrison S, Challop R: Ulcerative esophagitis and colitis in a pediatric patient with BehÇet's syndrome.Am J Gastroenterol 68:550–555, 1977

    Google Scholar 

  21. Lockhart JM, McIntyre W, Caperton EM Jr: Esophageal ulceration in BehÇet's syndrome (Letter).Ann Intern Med 84:572–573, 1976

    Google Scholar 

  22. Rosendorff C, Grieve NWT: Ulcerative esophagitis in association with ulcerative colitis.Gut 8: 344–347, 1967

    Google Scholar 

  23. Goldberg HI, Dodds WJ: Cobblestone esophagus due to monilial infection.AJR 104:608–612, 1968

    Google Scholar 

  24. Spalding AR, Burney DP, Richie RE: Acquired benign bronchoesophageal fistulas in the adult.Ann Thorac Surg 28:378–383, 1979

    Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Evanston Hospital-Northwestern University, Evanston, Illinois, USA

    Gary G. Ghahremani M.D. & Richard M. Gore

  2. Department of Medicine, Evanston Hospital-Northwestern University, Evanston, Illinois, USA

    Richard I. Breuer

  3. Department of Surgery, Evanston Hospital-Northwestern University, Evanston, Illinois, USA

    Richard H. Larson

Authors
  1. Gary G. Ghahremani M.D.
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  2. Richard M. Gore
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  3. Richard I. Breuer
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  4. Richard H. Larson
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Ghahremani, G.G., Gore, R.M., Breuer, R.I. et al. Esophageal manifestations of Crohn's disease. Gastrointest Radiol 7, 199–203 (1982). https://doi.org/10.1007/BF01887639

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  • DOI: https://doi.org/10.1007/BF01887639

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