Abstract
Gastroduodenal Crohn’s disease is rare as most often the disease is found in the terminal ileum and colon rather than the upper gastrointestinal tract. The most common phenotype is stricturing disease which can lead to obstructive-like symptoms. Medical treatment options include proton pump inhibitors and biologic therapy. Endoscopic and surgical intervention may be needed to relieve the obstructive-like symptoms from the stricturing phenotype.
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References
Reynolds HL, Jr., Stellato TA. Crohn’s disease of the foregut. Surg Clin North Am. 2001;81:117–35, viii.
Ingle SB, Adgaonkar BD, Jamadar NP, et al. Crohn’s disease with gastroduodenal involvement: diagnostic approach. World J Clin Cases. 2015;3:479–83.
Loftus EV, Jr. Upper gastrointestinal tract Crohn’s disease. Clin Perspect Gastroenerol. 2002;5:188–91.
Yamamoto T, Bain IM, Connolly AB, et al. Outcome of strictureplasty for duodenal Crohn’s disease. Br J Surg. 1999;86:259–62.
Worsey MJ, Hull T, Ryland L, et al. Strictureplasty is an effective option in the operative management of duodenal Crohn’s disease. Dis Colon Rectum. 1999;42:596–600.
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Lightner, A.L., Fletcher, J.G. Duodenal Crohn’s Disease—a Diagnostic Conundrum. J Gastrointest Surg 22, 761–763 (2018). https://doi.org/10.1007/s11605-017-3591-y
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DOI: https://doi.org/10.1007/s11605-017-3591-y