Surgical Options for Neoplasia Complicating Crohn’s Disease of the Large Intestine

2019 ◽  
pp. 151-160
Author(s):  
Jeffrey S. Scow ◽  
Amit Merchea
2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.


1972 ◽  
Vol 62 (3) ◽  
pp. 479-482 ◽  
Author(s):  
Stephen M. Brenner ◽  
Harry M. Delany

Author(s):  
M. V. Osikov ◽  
E. V. Simonyan ◽  
A. E. Bakeeva

The aim. To conduct a comparative analysis of the effect of turmeric extract and 5-aminosalicylic acid (5-ASA) in the composition of rectal suppositories in clinical symptoms and the content of lipid peroxidation products in the mucous membrane of the large intestine in experimental Crohn’s disease (CD).Materials and methods. The experiment was performed on 70 non-linear white Wistar rats. CD was modeled by rectal administration of trinitrobenzenesulfonic acid, rectal suppositories were used each 12 hours: with 5-ASA in a dose of 50 mg, with 10% turmeric extract of original composition, weighing 0.3 g each. On the 3rd, 5th and 7th day of CD, the clinical status was determined by the modified Disease activity index scale and the content of lipid peroxidation products in the large intestine mucosa.Results. In the dynamics of CD in the colon, the content of primary, secondary and final lipid peroxidative products in the heptane and isopropanol phases increases; the severity of clinical signs (weight loss, diarrhea, blood in the fecal masses) increases with increasing content of POL. The use of rectal suppositories with turmeric extract in case of CD reduces the severity of clinical symptoms, reduces the content of lipid peroxidation products mainly in the isopropanol phase of the colon lipid extract; an association was established between the index of clinical activity of CD and the content of lipid peroxidation products in the large intestine. The effectiveness of local application of turmeric extract in the composition of rectal suppositories is comparison with the effectiveness of the use of rectal suppositories with 5-ASA in terms of the clinical activity index and the content of lipid peroxidation products in the large intestine.


2011 ◽  
Vol 73 (6) ◽  
pp. 432-438 ◽  
Author(s):  
Raaj Chandra ◽  
James W. E. Moore

Gut and Liver ◽  
2011 ◽  
pp. 60-67
Author(s):  
E.J. Eshuis ◽  
W.A. Bemelman

Gut ◽  
1964 ◽  
Vol 5 (6) ◽  
pp. 493-509 ◽  
Author(s):  
H. E. Lockhart-Mummery ◽  
B. C. Morson

2016 ◽  
Vol 22 (40) ◽  
pp. 8892 ◽  
Author(s):  
James WT Toh ◽  
Peter Stewart ◽  
Matthew JFX Rickard ◽  
Rupert Leong ◽  
Nelson Wang ◽  
...  

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