Oesophageal stricture associated with Crohn's disease.

Esophageal manifestations of Crohn's disease

“…The regional esophagitis in 12 of the previously reported cases was associated with Crohn's disease of the small bowel, colon, or both [1,4,8,9,[11][12][13][14]17]. Similarly, our 2 patients had pathologically proven granulomatous ileocolitis, and a third site of involvement in the gastric antrum was noted during barium studies and laparotomy in case 2.…”

“…These include: 1. Segmental and asymmetric esophagitis with nodular "varicoid or cobblestoned" mucosa [8,9,[13][14][15]17] (Fig. 1A).…”

“…3. Progressive luminal narrowing and rigid esophageal stricture [1,9,[14][15][16][17][18] (Figs. 1 and 2).…”

“…D Barium enema examination shows the diffusely nodular mucosa of the colon with lack of haustral markings. The narrowed terminal ileum and sigmoid are displaced by the extrinsic pressure of inflamed ileal loops occupying the right lower abdomen ever, the esophageal involvement by Crohn's disease represents a rarity [1,4,[7][8][9][10][11][12][13][14][15][16][17][18].…”

Crohn's disease involving the proximal stomach

“…In our patient it is difficult to be certain wether the esophageal stricture and fistula developed because of the CD or were surgical complications. Certainly, esophageal ulceration progressing to stenosis and/or fistula formation has been described in several patients with Crohn's disease [7][8][9].…”