Ibrahim Samar H, Smyrk Thomas C, Faubion William A
Pediatric and Adolescent Medicine Department, Mayo Clinic, Rochester, Minn., USA.
Case Rep Gastroenterol. 2008 Nov 5;2(3):363-8. doi: 10.1159/000158543.
Isolated gastric Crohn's disease is unusual and a rare cause of pyloric outlet obstruction. If medical therapy is ineffective, patients may require surgery to relieve gastric outlet obstruction. Herein we describe a patient with isolated gastric Crohn's disease with pyloric outlet obstruction who was steroid-dependent and had a relapse despite receiving biologic and immunomodulatory therapy, but ultimately responded to topical treatment with inhaled corticosteroids.
孤立性胃克罗恩病较为罕见，是幽门出口梗阻的少见病因。若药物治疗无效，患者可能需要手术来缓解胃出口梗阻。在此，我们描述一名患有孤立性胃克罗恩病伴幽门出口梗阻的患者，该患者依赖类固醇，尽管接受了生物制剂和免疫调节治疗仍复发，但最终对吸入性糖皮质激素局部治疗有反应。
