Surgical management of duodenal Crohn's disease  

作　　者：Li-Chao Yang Guo-Tao Wu Qiang Wu Liang-Xin Peng Ya-Wei Zhang Bao-Jia Yao Gang-Lei Liu Lian-Wen Yuan 

机构地区：[1]Department of Geriatric Surgery,The Second Xiangya Hospital of Central South University,Changsha 410011,Hunan Province,China [2]Department of General Surgery,The Second Xiangya Hospital of Central South University,Changsha 410011,Hunan Province,China [3]Department of General Surgery,The Seventh Affiliated Hospital,University of South China,Changsha 410119,Hunan Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第6期1159-1168,共10页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by the National Natural Science Foundation of China,No.81970493 and No.82270590;and the National Natural Science Foundation of Hunan Province,No.2021JJ30973 and No.2021JJ40844.

摘　　要：BACKGROUND The case of Crohn's disease involving the duodenum is rare,and its surgical management requires a thorough understanding.AIM To investigate the surgical management of duodenal Crohn’s disease.METHODS We systematically reviewed patients diagnosed with duodenal Crohn's disease who underwent surgery in the Department of Geriatrics Surgery of the Second Xiangya Hospital of Central South University from January 1,2004,to August 31,2022.The general information,surgical procedures,prognosis,and other information of these patients were collected and summarized.RESULTS A total of 16 patients were diagnosed with duodenal Crohn’s disease,where 6 cases had primary duodenal Crohn’s disease,and 10 had secondary duodenal Crohn’s disease.Among patients with primary disease,5 underwent duodenal bypass and gastrojejunostomy,and 1 received pancreaticoduodenectomy.Among those with a secondary disease,6 underwent closure of duodenal defect and colectomy,3 received duodenal lesion exclusion and right hemicolectomy,and 1 underwent duodenal lesion exclusion and double-lumen ileostomy.CONCLUSION Crohn's disease involving the duodenum is a rare condition.Different surgical management should be applied for patients with Crohn's disease presenting with different clinical manifestations.

关 键 词：DUODENUM Crohn’s disease Surgical treatment Inflammatory bowel disease 

分 类 号：R574[医药卫生—消化系统]