食管瘘和狭窄需要食管切除术的克罗恩病。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-02-01 DOI:10.14309/crj.0000000000001604

Christina Dimopoulos-Verma, Ashley Ott, Aaron Yeoh, Monique Barakat, David Bingham, Kian Keyashian, Grant Barber

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引用次数: 0

摘要

食道克罗恩病罕见且难以识别，尤其是在成人人群中。在这项研究中，我们报告了一位biologic-naïve结肠克罗恩病患者，尽管多次扩张，但仍伴有复发性食管狭窄，他以复发性吸入性肺炎就诊于我们中心。他被发现有气管食管瘘作为可能的病因。在多学科讨论后，考虑到他狭窄的严重程度，他接受了食管切除术。患者的手术过程中由于单侧声带麻痹导致发音困难和误吸，并通过声带注射解决。本病例突出了食管克罗恩病的严重表现。

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Fistulizing and Stricturing Esophageal Crohn's Disease Requiring Esophagectomy.

Esophageal Crohn's disease is uncommon and difficult to identify, especially in the adult population. In this study, we report a biologic-naïve patient with colonic Crohn's disease complicated by recurrent esophageal strictures despite many dilations, who presented to our center with recurrent aspiration pneumonia. He was found to have a tracheoesophageal fistula as the likely etiology. After multidisciplinary discussion, he underwent esophagectomy given the severity of his stenosis. The patient's surgical course was complicated by dysphonia and aspiration due to unilateral vocal cord paralysis, which resolved with vocal cord injection. This case highlights a severe manifestation of esophageal Crohn's disease.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.