A CASE REPORT OF CROHN'S DISEASE WITH DUODENAL STENOSIS
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- NAKAGAWA Hidekazu
- Yamamoto Gastrointestinal Clinic
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- YAMAMOTO Isamu
- Yamamoto Gastrointestinal Clinic
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- TAKEMARU Fumio
- Takemaru Gastrointestinal Clinic
Bibliographic Information
- Other Title
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- 十二指腸狭窄をともなった小腸大腸Crohn病の1例
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Abstract
The paper describes an operated case of Crohn's disease with duodenal stenosis.<br> A 16-year-old male who was operated on for fistula ani 6 years before and diagnosed as ileocecal Crohn's disease 3 years before was operated on at the hospital after 10 months conservative therapy for duodenal stenosis.<br> Upper GI series showed a post-bulbar stenosis and thickened edematous mucosal folds. Gastroendoscopic examination demonstrated red nodural granular mucosa in the duodenum, but granuloma could not be detected in biopsied specimen.<br> Gastrojejunostomy for the duodenal obstruction and ileocecal resection for intestinal bleeding were performed. Resected specimen revealed longitudinal linear ulcers elsewhere in the ileum. Histopathologically any granuloma was not identified. But chronic inflammation, fibrosis, and giant cells, consistent with the diagnosis of Crohn's disease were seen.<br> Crohn's disease involving the duodenum is quite rare. Only 24 cases have been reported in Japan adding our case.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 57 (8), 1947-1951, 1996
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282680292639104
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- NII Article ID
- 130003432202
- 10008523453
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed