Procházka V, Neumann C, Kunovská M
Chirurgická klinika FN Brno-Bohunice.
Rozhl Chir. 2005 Dec;84(12):592-4.
The Crohn's disease rarely affects duodenum. The symptoms are unspecific and its diagnostic process may be difficult. Patients with complications-stenoses and fistules, are indicated for surgical treatment. According to literature, there is no straightforward agreement on the surgical treatment strategy. In most cases, non-resection procedures are indicated. The authors describe a case of a patient suffering from the Crohn's disease of his duodenum and chronic pancreatitis, which was managed using a radical procedure--hemipancreatoduodenectomy.
克罗恩病很少累及十二指肠。其症状不具特异性,诊断过程可能困难。出现并发症(狭窄和瘘管)的患者需接受手术治疗。根据文献,对于手术治疗策略尚无明确共识。在大多数情况下,建议采用非切除手术。作者描述了一例患有十二指肠克罗恩病和慢性胰腺炎的患者,该患者接受了根治性手术——半胰十二指肠切除术。