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Article
August 1976

Gastroduodenal Crohn Disease

Author Affiliations

From the departments of general surgery (Drs Tootla and Lucas), anatomic pathology (Dr Bernacki), and diagnostic radiology (Dr Tabor), William Beaumont Hospital, Royal Oak, Mich.

Arch Surg. 1976;111(8):855-857. doi:10.1001/archsurg.1976.01360260023004
Abstract

• Symptomatic involvement of the stomach and duodenum is an uncommon manifestation of Crohn disease. Our experience with three young women who had upper gastrointestinal tract symptoms indicates the seriousness of the condition.

All three patients required operation for relief of symptoms. Two operations were performed for gastric outlet obstruction and one for massive hemorrhage (a rare complication of gastric involvement). All patients had roentgenographic or gastroscopic evidence suggestive of Crohn disease, and in each the diagnosis was confirmed by histopathologic means.

The operative procedures consisted of distal gastrectomy in two cases and gastrojejunostomy in the third. All three patients have or have had evidence of Crohn disease of the small intestine and none of them responded to medical management. (In the most recent case, medical management included intravenous hyperalimentation.)

In our experience, symptomatic involvement of the stomach in Crohn disease will not respond to medical treatment and will require surgical measures for relief.

(Arch Surg 111:855-857, 1976)

References
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Haggit RC, Meissner WA:  Crohn's disease of the gastrointestinal tract .  Am J Clin Pathol 59:613-622, 1973.
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Farman J, Gaegenburg D, Dallemand S, et al:  Crohn's disease of the stomach: The "ram's horn" sign .  Am J Roentgenol Radium Ther Nucl Med 123:242-251, 1975.Crossref
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Kim US, Zimmerman MJ, Weiss M:  Massive gastro-intestinal hemorrhage associated with Crohn's disease of the stomach and duodenum .  Am J Gastroenterol 59:244-249, 1973.
5.
Paget ET, Owens MP, Peniston WO, et al:  Massive upper gastrointestinal hemorrhage: A manifestation of regional enteritis of the duodenum .  Arch Surg 104:397-400, 1972.Crossref
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