Cirugía General y del Aparato Digestivo, Hospital General Universitario Virgen de la Arrixaca, España.
Anatomía Patológica, Hospital General Universitario Virgen de la Arrixaca.
Rev Esp Enferm Dig. 2022 Aug;114(8):501-502. doi: 10.17235/reed.2022.8766/2022.
Crohn's disease located in the esophagus is rare, being exceptional as the initial manifestation of the disease. Erosive ulcerative esophagitis, stricture and fistula are forms of presentation, as in other esophageal pathologies, so the differential diagnosis is broad. The histologic features of esophageal Crohn's disease can be nonspecific and increase the diagnostic challenge. Esophageal Crohn's disease should be included in the differential diagnosis of esophageal strictures and may require esophagectomy if medical-endoscopic treatment is not effective.
克罗恩病位于食管处十分罕见，作为该病的初始表现则更为罕见。与其他食管病变一样，克罗恩病的食管表现为糜烂性溃疡性食管炎、狭窄和瘘管，因此鉴别诊断范围很广。食管克罗恩病的组织学特征可能无特异性，增加了诊断难度。食管克罗恩病应纳入食管狭窄的鉴别诊断，如果药物-内镜治疗无效，可能需要进行食管切除术。
