一例孤立性胃克罗恩病患者的病例报告

Q3 Medicine Voprosy Detskoi Dietologii Pub Date : 2021-01-01 DOI:10.20953/1727-5784-2021-3-95-101

E. Trush, A. Ulyanin, A. Korolev, L.N. Androsova, P. Pavlov, O. Shifrin, A. Trukhmanov, E. Poluektova, A. S. Tertychnyy, S. S. Pirogov, V. Ivashkin

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引用次数: 0

摘要

食道、胃或十二指肠的克罗恩病极为罕见，其特点是病程严重，预后差。上消化道病变的临床症状是非特异性的，因此需要食管胃十二指肠镜联合活检进行鉴别诊断。胃克罗恩病的特点是一种特殊的内镜发现-胃褶皱的竹关节样外观。克罗恩病患者胃活检形态学检查中的肉芽肿性炎症是罕见的，因此内镜下的发现更具有病理特征。本文报道1例孤立性胃克罗恩病的临床病例，介绍该病的鉴别诊断和治疗方法。关键词:克罗恩病，克罗恩病伴胃病变，胃保护剂，质子泵抑制剂，内镜超声检查

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A case report of a patient with isolated Crohn’s disease of the stomach

Crohn’s disease of the esophagus, stomach or duodenum is extremely rare and characterized by an aggressive disease course with a poor prognosis. Clinical symptoms of the upper gastrointestinal tract lesion are nonspecific, therefore esophagogastroduodenoscopy with biopsy is necessary for the differential diagnosis. Crohn’s disease of the stomach is characterized by a specific endoscopic finding – bamboo-joint-like appearance of gastric folds. Granulomatous inflammation in morphological examination of gastric biopsies in patients with Crohn’s disease is rare, therefore endoscopic finding is more pathognomonic. This article presents a clinical case of a patient with isolated Crohn’s disease of stomach, differential diagnosis and treatment approaches of the disease. Key words: Crohn’s disease, Crohn’s disease with lesions of the stomach, gastroprotective agents, proton pump inhibitors, endoscopic sonography

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来源期刊

Voprosy Detskoi Dietologii Medicine-Pediatrics, Perinatology and Child Health

CiteScore

1.20

自引率

0.00%

发文量

期刊介绍： The scientific journal Voprosy Detskoi Dietologii is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Food Science, Pediatrics, Perinatology, and Child Health, Nutrition and Dietetics, Клиническая медицина.