Larabi K, Ismaîl R, Diouri M, Kadiri B
Service de Chirurgie digestive, CHU Ibn Rochd, Casablanca, Maroc.
Ann Gastroenterol Hepatol (Paris). 1995 May-Jun;31(3):162-4.
The authors report a case of Crohn's disease of the esophagus, stomach, small intestine, colon and rectum in a 34-year-old patient. The esophagus was affected three months after diagnosis of the ileo-rectal lesion. They discuss clinical and therapeutic aspects of the condition. They stress the value of upper endoscopy with multiple biopsies in providing the diagnosis. Treatment is essentially medical, surgery being restricted to fistulas after failure of medical treatment and parenteral nutrition, and to severe stenoses after failure of endoscopic dilatation.
作者报告了一例34岁患者患有食管、胃、小肠、结肠和直肠克罗恩病的病例。在回肠直肠病变诊断三个月后食管受到影响。他们讨论了该病的临床和治疗方面。他们强调了多次活检的上消化道内镜检查在提供诊断方面的价值。治疗主要是药物治疗，手术仅限于药物治疗和肠外营养失败后的瘘管，以及内镜扩张失败后的严重狭窄。
