Iizuka M, Harada T, Yamano HO, Etou T, Sagara S. Typical gastroduodenal endoscopic findings in a Crohn's disease patient in remission stage. World J Gastrointest Endosc 2012; 4(3): 96-98 [PMID: 22442748 DOI: 10.4253/wjge.v4.i3.96]
Corresponding Author of This Article
Masahiro Iizuka, MD, PhD, Director of Akita Health Care Center, Akita Red Cross Hospital, 3-4-23 Nakadori, Akita 010-0001, Japan. maiizuka@woody.ocn.ne.jp
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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Masahiro Iizuka, Taku Harada, Hiro-o Yamano, Takeshi Etou, Department of Gastroenterology, Akita Red Cross Hospital, Akita 010-1495, Japan
Masahiro Iizuka, Shiho Sagara, Akita Health Care Center, Akita Red Cross Hospital, Akita 010-0001, Japan
Author contributions: Iizuka M contributed the study conception, design and drafting of the paper; Harada T performed endoscopic examination; Yamano H, Etou T and Sagara S contributed the data interpretation and revised the paper.
Supported by Health and Labour Sciences Research Grants for research on intractable diseases from Ministry of Health, Labour and Welfare of Japan, in part
Correspondence to: Masahiro Iizuka, MD, PhD, Director of Akita Health Care Center, Akita Red Cross Hospital, 3-4-23 Nakadori, Akita 010-0001, Japan. maiizuka@woody.ocn.ne.jp
Telephone: +81-188321601 Fax: +81-188321603
Received: August 22, 2011 Revised: November 20, 2011 Accepted: March 1, 2012 Published online: March 16, 2012
Abstract
A 39-year-old patient with Crohn’s disease (CD) was referred to our hospital for maintenance treatment of CD. He was diagnosed as having CD of the small and large intestines at 32 years old. He underwent partial resection of the ileum at 35 years old because of ileal perforation. He had received enteral nutritional supplement (1200 kcal/d) and metronidazole preparation (500 mg/d), and was in remission Crohn’s disease activity index 73. We performed a routine gastroduodenal endoscopic examination, which revealed the representative endoscopic findings of gastroduodenal lesions in CD, namely, bamboo-joint-like appearance of the gastric body and cardia and a notched sign in the duodenum. These findings were clearly observed by using indigo carmine dye spraying. In our patient, typical gastroduodenal findings were observed even in the remission stage, suggesting that these findings would contribute to the early diagnosis of CD not only in the active stage but also during remission.
