Use of anti tumor necrosis factor-alpha monoclonal antibody for ulcerative jejunoileitis

Figure 1 Enteroscopic appearance of the lesions. A: A 4-cm chronic cavity consistent with chronic perforation at the jejunal anastomosis; B: More distal jejunal ulcerations.

Figure 2 Endoscopy showing bleeding from an anastomotic ulcer.

Figure 3 Surgically resected jejunum. A: Full thickness small bowel section showing ulcerated small intestinal mucosa; B: Ulcer bed showing acute and chronic inflammation, granulation tissue and overlying fibrinopurulent exudate, no granulomas are seen; C: Intravascular embolization material in submucosal blood vessel.

Figure 4 Complete improvement on endoscopic findings after infliximab therapy. A: Jejunojejunostomy; B: Distal jejunum.