open access

Vol 8, No 3 (2006)
Published online: 2006-08-02
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Crohn‘s disease in the upper part of the digestive tract in 3 patients from material encompassing 3000 endoscopies

Wojciech Latos, Karolina Sieroń-Stołtny, Anna Gadowska-Cicha, Witold Zieleźnik, Aleksandra Bilska, Aleksander Sieroń
Chirurgia Polska 2006;8(3):198-206.

open access

Vol 8, No 3 (2006)
Published online: 2006-08-02

Abstract

Background: Crohn’s disease includes a number of clinical and pathological symptoms which are a manifestation of the focal and asymmetrical inflammation of the all layers of the wall and all parts of the digestive tract. Observed lesions can sometimes show a granuloma’s character. The rare manifestation of Crohn’s disease in the oesophagus, stomach or in the jejunum can appear as an isolated form and can then precede disease of the lower part of the digestive tract.
Material and methods: From January 2004 to May 2005 in the Central Laboratory of Endoscopy at the Chair and Clinic of Internal Diseases, Angiology and Physical Medicine of the Medical University of Silesia in Bytom, 3000 upper gastrointestinal endoscopies were performed. Typical Crohn‘s disease lesions in the upper part of the digestive tract were sought according to the assumptions aims of this research. These lesions were found in three of the 7 examined patients with diagnosed Crohn’s disease.
Results: In our material of 3000 performed upper gastrointestinal endoscopies, lesions with endoscopical manifestation of the disease in the upper part of the digestive tract were found in three patients (two women and one man) aged 17 to 84 years old. They were also 3 out of 7 examined patients who had been diagnosed with Crohn‘s disease. In all seven patients with Crohn‘s disease the diagnosis was based on clinical symptoms, endoscopical and radiological pictures and was confirmed by a histopathological examination.
Conclusions: Progress in endoscopic methods and very meticulous and precise histopathological descriptions allows one to diagnose more cases of Crohn‘s disease in the upper gastrointestinal tract than before. The early detection and diagnosis of lesions localized in the upper gastrointestinal tract are very important in the early diagnosis of many systemic diseases, such as Crohn‘s disease.

Abstract

Background: Crohn’s disease includes a number of clinical and pathological symptoms which are a manifestation of the focal and asymmetrical inflammation of the all layers of the wall and all parts of the digestive tract. Observed lesions can sometimes show a granuloma’s character. The rare manifestation of Crohn’s disease in the oesophagus, stomach or in the jejunum can appear as an isolated form and can then precede disease of the lower part of the digestive tract.
Material and methods: From January 2004 to May 2005 in the Central Laboratory of Endoscopy at the Chair and Clinic of Internal Diseases, Angiology and Physical Medicine of the Medical University of Silesia in Bytom, 3000 upper gastrointestinal endoscopies were performed. Typical Crohn‘s disease lesions in the upper part of the digestive tract were sought according to the assumptions aims of this research. These lesions were found in three of the 7 examined patients with diagnosed Crohn’s disease.
Results: In our material of 3000 performed upper gastrointestinal endoscopies, lesions with endoscopical manifestation of the disease in the upper part of the digestive tract were found in three patients (two women and one man) aged 17 to 84 years old. They were also 3 out of 7 examined patients who had been diagnosed with Crohn‘s disease. In all seven patients with Crohn‘s disease the diagnosis was based on clinical symptoms, endoscopical and radiological pictures and was confirmed by a histopathological examination.
Conclusions: Progress in endoscopic methods and very meticulous and precise histopathological descriptions allows one to diagnose more cases of Crohn‘s disease in the upper gastrointestinal tract than before. The early detection and diagnosis of lesions localized in the upper gastrointestinal tract are very important in the early diagnosis of many systemic diseases, such as Crohn‘s disease.
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Keywords

Crohn‘s disease; diagnostics

About this article
Title

Crohn‘s disease in the upper part of the digestive tract in 3 patients from material encompassing 3000 endoscopies

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 8, No 3 (2006)

Pages

198-206

Published online

2006-08-02

Bibliographic record

Chirurgia Polska 2006;8(3):198-206.

Keywords

Crohn‘s disease
diagnostics

Authors

Wojciech Latos
Karolina Sieroń-Stołtny
Anna Gadowska-Cicha
Witold Zieleźnik
Aleksandra Bilska
Aleksander Sieroń

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