Tag: Crohn’s Disease

Crohn’s disease of the esophagus

Crohn’s disease of the esophagus: DISCUSSION Part 1

The esophagus is among the least common segments of the digestive tube involved in CD. We were able to find only 72 cases reported in the literature and added the three present cases. Very few cases were reported before 1967, although the initial description of esophageal CD is attributed to Franklin and Taylor in 1950. […]

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Crohn’s disease of the esophagus

Crohn’s disease of the esophagus: LITERATURE REVIEW

Review of the English language literature using a computer search of MEDLINE for the years 1967 to 1998 yielded reports for 72 patients with esophageal CD. After adding the present three cases, data of all 75 patients were tabulated by age, sex, whether CD at other sites predated the esophageal presentation and which sites, in […]

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Crohn’s disease of the esophagus

Crohn’s disease of the esophagus: CASE 3

A 42-year-old man was evaluated in a gastrointestinal clinic for a 20-year history of Crohn’s disease, initially involving the terminal ileum. The diagnosis was established with exploratory laparotomy for what was thought to be acute appendicitis in 1979, at age 22 years. His initial presentation was severe right lower quadrant pain, with elevation of his […]

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Multiple aphthous ulcers

Crohn’s disease of the esophagus: CASE 2

A 28-year-old married woman presented in April, 1991 with three weeks of abdominal cramps and up to six watery stools per day. Five days before her visit, she developed a sore throat, and her husband, who was a physician, noted aphthous ulcers in her mouth. The patient developed dysphagia and odynophagia by the time of […]

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Discrete small ulcerations

Crohn’s disease of the esophagus: CASE 1

A 24-year-old married woman was seen in February 1998; her chief complaint was odynophagia. She had suffered from prolonged heartburn. Treatment with H2-receptor blockers, and later with proton pump inhibitors, produced only minor symptom relief. Subsequently, odynophagia developed, brought on by swallowing any food or even saliva. Avoidance of spicy foods produced minimal benefit. Past […]

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DISCUSSION

Pouchitis-associated iritis following total proctocolectomy and ileal pouch-to-anal anastomosis in ulcerative colitis: DISCUSSION

The late complications attributed to pouchitis developing after creation of an ileal pouch-to-anal anastomosis have been enumerated in detail elsewhere. Conversely, the presence of extraintestinal manifestations of inflammatory bowel disease before proctocolectomy appears to be a prognostic factor for the subsequent development of pouchitis. In one study, for example, the presence of preoperative extraintestinal manifestations […]

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Crohn’s Disease – PSYCHOSOCIAL CONSIDERATIONS

Although there is no evidence to support the concept that psychologic factors are etiologic in Crohn’s disease, there is no question that psychosocial pressures can influence the course of the patient’s illness and have to be addressed. The caring physician who is willing to answer questions and be available at all times is often all […]

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