Gastroduodenal Crohn's Disease

Steckstor, M; Adam, Birgit; Pech, Oliver; Tannapfel, Andrea; Riphaus, A.

doi:10.1016/s2212-0971(13)70074-8

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Gastroduodenal Crohn's disease is not commonly symptomatic and is seen in only about 4% of cases. 3 Its diagnosis is difficult because there are no specific or consistent pathological findings, as well as the high prevalence of comorbidity with H. pylori gastritis. 4 Medical therapy is usually enough in most cases, except for those with gastric outlet obstructions that may require surgery.…”

Section: Discussionmentioning

confidence: 99%

Crohn's disease: An enigmatic variant with gastritis and ileal obstruction

Amo‐Tachie,

Ocansey,

Yeboah

2023

Clinical Case Reports

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Key Clinical MessageThere are multiple atypical manifestations of Crohn's disease, which sometimes delay diagnosis or even more often result in complete misdiagnosis, especially in poorly equipped facilities. This is the case of an elderly woman with Crohn's disease who presented with gastritis and bowel obstruction. She had hitherto been wrongly managed for peptic ulcer disease and functional constipation based mainly on her symptoms. Her diagnosis was made only after years of failed symptomatic management. This case aims to highlight the uncommon and easily misdiagnosed gastroduodenal presentation of Crohn's disease, as well as clinical clues to correctly diagnosing the condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Crohn's disease: An enigmatic variant with gastritis and ileal obstruction

Amo‐Tachie,

Ocansey,

Yeboah

2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Gastroduodenal Crohn disease is not commonly symptomatic and seen in only about 4% of cases. 14 Its diagnosis is difficult because there are no specific or consistent pathological findings as well as the high prevalence of comorbidity with H. pylori gastritis. 15 Medical therapy is usually enough in most cases except for those with gastric outlet obstruction that may require surgery.…”

Section: Discussionmentioning

confidence: 99%

Crohn Disease: An Enigmatic Variant with Gastritis and Ileal Obstruction

Amo-Tachie,

Ocansey,

Yeboah

2023

Preprint

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There are multiple atypical manifestations of Crohn disease which sometimes delay diagnosis or even more often result in complete misdiagnosis especially in poorly equipped facilities. This is a case of an elderly woman with Crohn disease who presented with gastritis and bowel obstruction. She had hitherto been wrongly managed for peptic ulcer disease and functional constipation based mainly on her symptoms. Her diagnosis was made only after years of failed symptomatic management. This case aims to highlight the uncommon and easily misdiagnosed gastroduodenal presentation of Crohn disease, as well as clinical clues to correctly diagnosing the condition.

show abstract

“…When a gastro-jejunostomy is required, a highly selective vagotomy is advisable. 33 Routine anastomotic area drainage is also advisable. In certain conditions when the nutritional status is too critical and could not be improved in the preoperative period, one could advocate for a decompressive, temporary gastrostomy as well.…”

Section: Types Of Enteric CD Fistulas-specific Surgical Conceptsmentioning

confidence: 99%