Adolph W
Z Gesamte Inn Med. 1983 Dec 1;38(23):649-51.
On the basis of a casuistics the infrequent isolated manifestation of a morbus Crohn in the duodenum is discussed. Apart from the clinical symptomatology the radiological and endoscopic proof of a segmentary stenosis is the most important diagnostic reference. The histological ascertainment of the granulomatous inflammation by aimed endoscopic biopsies is successful only at a low percentage, so that the synopsis of the findings is decisive for the diagnosis.
基于病例分析,探讨了十二指肠克罗恩病罕见的孤立表现。除临床症状外,节段性狭窄的放射学和内镜检查证据是最重要的诊断依据。通过有针对性的内镜活检对肉芽肿性炎症进行组织学确诊的成功率较低,因此各项检查结果的综合分析对诊断起决定性作用。