[Surgical treatment of duodenal stenosis in Crohn's disease].
Crohn's disease may involve any part of the alimentary tract, including the stomach and duodenum. We report herein the case of a 22 year-old male in whom Crohn disease was diagnosed due to weight loss in relation with a stenosis of the first and second parts of the duodenum. A gastrojejunostomy was performed with a good subsequent result. The initial management of a Crohn's disease with involvement of the duodenum is medical. When there is an indication for surgery, a gastroenterostomy is preferred, albeit with a high incidence of outlet obstruction and marginal ulceration.
Gonzalez
M
M
Service de Chirurgie Viscérale, Hôpital Universitaire de Genève, 24, rue Micheli-du-Crest, 1211 Genève, Suisse. michel.gonzalez@hcuge.ch
Collaud
S
S
Gervaz
P
P
Frossard
J-L
JL
Morel
P
P
D000328:Adult; D003251:Constriction, Pathologic / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery*; D004378:Duodenal Diseases / Q000601:surgery*; D004382:Duodenitis / Q000601:surgery; D015390:Gastric Bypass / Q000379:methods; D006801:Humans; D007079:Ileitis / Q000601:surgery; D008297:Male; D053706:Typhlitis / Q000601:surgery