title: Crohn's Disease of the Foregut.
abstract: Crohn's disease of the foregut is more common than previously recognized, with up to 40% of patients with Crohn's disease in the distal intestine also having evidence of foregut disease. Esophageal disease is best managed medically with proton pump inhibition, steroids, thiopurines, methotrexate, and anti-tumor necrosis factor-α biologic medications. Esophageal strictures are dealt with using endoscopic dilation. Surgery is generally reserved of resistant strictures or esophageal fistulas. Patients with gastroduodenal disease more commonly come to surgery. The most commonly performed operations for gastroduodenal Crohn's disease are intestinal bypass or strictureplasty. The concomitant use of vagotomy remains controversial.
authors.affiliation: Colon and Rectal Surgery, Department of Surgery, William Beaumont Army Medical Center, 4756 Loma de Plata Drive, El Paso, TX 79934, USA. Electronic address: kurtdavis88@gmail.com.
authors.forename: Kurt G
authors.initials: KG
authors.lastname: Davis
mesh_terms: D003424:Crohn Disease / Q000175:diagnosis* / Q000628:therapy*; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000628:therapy; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000628:therapy
keywords: Crohn’s disease; Esophagus; Foregut; Gastric