Obstructing Crohn's disease of the duodenum: is surgery always mandatory?

Abstract

Crohn's disease may involve any part of the alimentary tract. But, Crohn's disease of the duodenum is a very rare condition. Systemic steroid therapy had been shown to be effective in patients with Crohn's disease, and the most common indication for surgical intervention is duodenal obstruction. We report a case with Crohn's disease of the duodenum presenting with duodenal obstruction. Medical treatment option was successful as a first line of therapy because of young age and new diagnosis. The patient was administered mesalazine as a treatment, and the obstruction was resolved. The patient is still in remission for the last 2 years.

• Authors: A O Karaoglu, V Yukselen
• Journal: International journal of clinical practice (Int J Clin Pract) Vol. 58 Issue 2 Pg. 221-3 (Feb 2004) ISSN: 1368-5031 [Print] India
• PMID: 15055874 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal
• Mesalamine

Topics

• Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
• Crohn Disease (drug therapy)
• Duodenal Obstruction (drug therapy)
• Humans
• Male
• Mesalamine (therapeutic use)
• Middle Aged
• Treatment Outcome