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Related Experiment Videos

Gastroduodenal Crohn disease

F Tootla, R J Lucas, E G Bernacki

    Archives of Surgery (Chicago, Ill. : 1960)
    |August 1, 1976
    PubMed
    Summary

    Symptomatic stomach and duodenum involvement in Crohn disease is rare but serious, often requiring surgery for relief. Medical management, including intravenous hyperalimentation, proved ineffective in these cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology

    Background:

    • Crohn disease typically affects the small intestine.
    • Gastric and duodenal involvement in Crohn disease is uncommon.

    Observation:

    • Three young female patients presented with upper gastrointestinal symptoms.
    • Symptoms included gastric outlet obstruction and massive hemorrhage.
    • Diagnosis was confirmed histopathologically after suggestive imaging.

    Findings:

    • All patients required surgical intervention for symptom relief.
    • Surgical procedures included distal gastrectomy and gastrojejunostomy.
    • Medical management, even with intravenous hyperalimentation, was unsuccessful.

    Implications:

    • Symptomatic upper gastrointestinal Crohn disease often necessitates surgical treatment.
    • Early surgical consideration may be crucial for managing severe gastric and duodenal Crohn disease.
    • This highlights the need for recognizing and managing rare Crohn disease manifestations.

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