Gastroduodenal Crohn Disease

Tootla, Farouk

doi:10.1001/archsurg.1976.01360260023004

Cited by 23 publications

(13 citation statements)

References 4 publications

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“…1 To the authors' knowledge the presence of ectopic duodenal mucosa in the gastric antrum adjacent to an ectopic pancreatic rest has not been previously reported. An echogenic, less well-defined mass is seen if Henoch-Schonlein purpura affects the small bowel, 11 but was not apparent in our patient with the purpura affecting the stomach. Gastric ulcers are uncommon in children and have been noted before as rare causes of asymmetrical wall thickening.…”

Section: Discussioncontrasting

confidence: 52%

Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children.

Stringer

Daneman

Brunelle

et al. 1986

Journal of Ultrasound in Medicine

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Prospective sonographic evaluation after water ingestion in 25 normal children aged 2 days to 15 years (mean 6.3 years) demonstrated that normal gastric wall thickness was less than 3 mm. Gastric walls of 5-15 mm thickness were seen in nine of about 6500 children undergoing abdominal sonographic examinations. These nine patients had a variety of unusual diseases, including varioliform gastritis, gastric ulcer, lymphoid hyperplasia, and gastric hamartoma. Previously unreported sonographic appearances were seen. The sonographic examination was instrumental in the detection of five clinically unsuspected gastric lesions and helpful in follow-up in four others.

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Section: Discussioncontrasting

confidence: 52%

Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children.

Stringer

Daneman

Brunelle

et al. 1986

Journal of Ultrasound in Medicine

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“…In a more advanced stage of the disease, symptoms of obstruction are often present (epigastric distress, early satiety, nausea, vomiting, and weight loss). Hematemesis or melena are seldom reported (7,30,36,43,46,(67)(68)(69)(70)(71)(72)(73).…”

Section: Symptomsmentioning

confidence: 99%

Proximal Crohn's Disease: Review of the Clinicopathologic Features and Therapy

Hogezand

Witte

Veenendaal

et al. 2001

Inflammatory Bowel Diseases

102

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Crohn's disease in the proximal region of the digestive tract is uncommon. Better diagnostically procedures and more careful histologic examination has led to a higher detection of proximal Crohn's disease. The diagnosis is based on symptoms, endoscopy with serial sections, or double contrast radiography. The most common histologic finding for this diagnosis are granulomas in the mucosa in Helicobacter pylori-negative patients, but the granulomas are not always frequently detected. Endoscopic lesions in the proximal regions look like the lesions that could be found in the distal regions. Notching in the duodenal folds could be a strong indication for Crohn's desease. Radiological lesions are not always characteristic, but should be used in combination with endoscopy. Stenosis is an important complication, but fistula formation and pseudodiverticular formation is possible. There is no uniform medical therapy, but the regular anti-inflammatory management for Crohn's disease is most often used. Sometimes surgery is needed.

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“…Crohn's disease is a condition with unique clinical pattern determined by the involved segment. The estimated incidence of the duodenal Crohn's disease ranges from 0.5 to 4.0% of patients with Crohn's disease (3–5). These data do not seem to reflect the real incidence of the duodenal involvement of the disease at all, because those lesions might be considered and treated as peptic ulcer for a long time.…”

Section: Discussionmentioning

confidence: 99%

Obstructing Crohn's disease of the duodenum: Is surgery always mandatory?

Karaoğlu

Yukselen

2004

International Journal of Clinical Practice

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Crohn's disease may involve any part of the alimentary tract. But, Crohn's disease of the duodenum is a very rare condition. Systemic steroid therapy had been shown to be effective in patients with Crohn's disease, and the most common indication for surgical intervention is duodenal obstruction. We report a case with Crohn's disease of the duodenum presenting with duodenal obstruction. Medical treatment option was successful as a first line of therapy because of young age and new diagnosis. The patient was administered mesalazine as a treatment, and the obstruction was resolved. The patient is still in remission for the last 2 years.

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Gastroduodenal Crohn Disease

Cited by 23 publications

References 4 publications

Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children.

Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children.

Proximal Crohn's Disease: Review of the Clinicopathologic Features and Therapy

Obstructing Crohn's disease of the duodenum: Is surgery always mandatory?

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