Ereifej S, Lestár B, Vörös A, Kisfaludy N, Arató G
Magy Seb. 2001 Jun;54(3):194-5.
Although it can involve any segment of the gastrointestinal tract, Crohn's disease confined to the gastroduodenum is extremely rare. We report the story of a 20-years old male patient admitted for pyloric obstruction that developed despite medical treatment. Clinical manifestations necessitated operative treatment; Polya-gastrectomy was performed. Histology identified Crohn's disease and inflammatory changes as the cause of pyloric obstruction. Postoperative recovery was uneventful. The lesson of this case is, that if duodenal Crohn's disease would have been recognized preoperatively, gastrectomy could have been avoided. We review the literature and discuss treatment options for gastroduodenal Crohn's disease.
尽管克罗恩病可累及胃肠道的任何节段，但局限于胃十二指肠的克罗恩病极为罕见。我们报告了一名20岁男性患者的病例，该患者因药物治疗无效而出现幽门梗阻入院。临床表现需要进行手术治疗；遂施行波尔亚胃切除术。组织学检查确定克罗恩病及炎症改变为幽门梗阻的病因。术后恢复顺利。该病例的教训是，如果术前能诊断出十二指肠克罗恩病，就可以避免胃切除术。我们回顾了文献并讨论了胃十二指肠克罗恩病的治疗方案。
