A bamboo joint–like appearance of the gastric body and cardia: possible association with Crohn's disease

Yokota, Kinichi; Saito, Yûsuke; Einami, Katsuya; Ayabe, Tokiyoshi; Shibata, Yoshimi; Tanabe, Hirotaka; Watari, Jiro; Ohtsubo, Chikara; Miyokawa, Naoyuki; Kohgo, Yutaka

doi:10.1016/s0016-5107(97)70100-7

Cited by 41 publications

(59 citation statements)

References 15 publications

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“…The detection rate showed significant differences in each report [21,31,48]. Hirokawa et al reported that the prevalence of granuloma in histologic specimens obtained from lesions with the bamboo-joint-like appearance in the stomach of CD patients was 14.3% [34], which was less than the prevalence in our results (45.5%) [33]. We took two biopsies from the lesion and made 50 serial sections for the histologic detection of granulomas.…”

Section: Gastric Lesionscontrasting

confidence: 53%

“…The bamboo-jointlike appearance is frequently observed in CD patients. According to our previous report, the incidence of the bamboo-joint-like appearance in the stomach was 38.3% [33]. Hirokawa et al reported that the finding was observed in 15 of 23 (65.2%) CD patients [34].…”

Section: Gastric Lesionsmentioning

confidence: 88%

“…We found that the prevalence of granuloma in biopsy specimens taken from lesions with a bamboo-joint-like appearance was 45.5% (Table 2) [33]. The bamboo-jointlike appearance can rarely be detected in patients without CD (i.e., patients with ulcerative colitis or chronic gastritis) [35,36].…”

Section: Gastric Lesionsmentioning

confidence: 89%

“…Thus, the sensitivity of these findings is thought to be low in CD patients. In 1997, we reported for the first time that the bamboo-joint-like appearance was found in CD patients [33]. These lesions are characterized by swollen longitudinal folds traversed by erosive fissures or linear furrows and were found in 54% of CD patients.…”

Section: Gastric Lesionsmentioning

confidence: 98%

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The endoscopic findings of the upper gastrointestinal tract in patients with Crohn’s disease

Nomura

Moriichi

Fujiya

et al. 2017

Clin J Gastroenterol

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Crohn's disease (CD) is a type of chronic inflammatory bowel disease (IBD) associated with ulceration, and the main foci of the inflammation in CD patients are typically the terminal ileum and colon. However, in the upper gastrointestinal tract (GIT), including the esophagus, stomach and duodenum, inflammatory lesions are also detected as well, with a relatively high frequency (30-75%). Recent advances in imaging modalities, including endoscopy, have aided in the diagnosis of CD. Various lesions, including aphtha, erosion, ulcers, bamboojoint-like appearance and notch-like appearance, are detected in the upper GI of CD patients. Of these lesions, the bamboo-joint-like appearance in the gastric cardiac region and notch-like appearance in the second portion of the duodenum are highly specific for CD, regardless of the disease activity at other sites. These two findings, particularly a bamboo-joint-like appearance, have therefore been considered as potential biomarkers for CD. Although proton pump inhibitors (PPIs) are administered as an initial treatment for upper GIT lesions of CD, the efficacy of this treatment remains controversial. The administration of mesalazine, steroids, immunosuppressant and biologic agents is expected to be effective for treating such lesions.

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Section: Gastric Lesionscontrasting

confidence: 53%

Section: Gastric Lesionsmentioning

confidence: 88%

Section: Gastric Lesionsmentioning

confidence: 89%

Section: Gastric Lesionsmentioning

confidence: 98%

See 2 more Smart Citations

The endoscopic findings of the upper gastrointestinal tract in patients with Crohn’s disease

Nomura

Moriichi

Fujiya

et al. 2017

Clin J Gastroenterol

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“…Pouca atenção tem sido dada aos achados endoscópicos do corpo gástrico devido à raridade do seu envolvimento, sendo descrito recentemente o aspecto de "nó de bambu" por YOKOTA et al (41) , e que consiste em pregueado de pequena curvatura de corpo espessado, cortado transversalmente por sulcos ou erosões. A presença destas lesões correlacionou-se com granulomas nas biopsias em 64% dos pacientes com erosões e 20% daqueles com apenas sulcos.…”

Section: Discussionunclassified

Doença de Crohn gastroduodenal -- relato de quatro casos e revisão da literatura

Abrahão

Vargas

Chagas

et al. 2001

Arq. Gastroenterol.

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Crohnʼs Disease with Gastroduodenal Mucosa Lesions that Are Similar to the Lesions Caused by Ulcerative Colitis

Umehara

Kudo

Kawasaki

2009

Inflammatory Bowel Diseases

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A bamboo joint–like appearance of the gastric body and cardia: possible association with Crohn's disease

Cited by 41 publications

References 15 publications

The endoscopic findings of the upper gastrointestinal tract in patients with Crohn’s disease

The endoscopic findings of the upper gastrointestinal tract in patients with Crohn’s disease

Doença de Crohn gastroduodenal -- relato de quatro casos e revisão da literatura

Crohnʼs Disease with Gastroduodenal Mucosa Lesions that Are Similar to the Lesions Caused by Ulcerative Colitis

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