Year 2022 / Volume 114 / Number 8
Letter
Esophageal stricture as an initial manifestation of Crohn's disease

501-502

DOI: 10.17235/reed.2022.8766/2022

Juan José Ruiz Manzanera, David Ruiz de Angulo Martín, Juan Fernández Pérez, Vicente Munitiz Ruiz,

Abstract
Crohn's disease located in the esophagus is rare, being exceptional as the initial manifestation of the disease. Erosive ulcerative esophagitis, stricture and fistula are forms of presentation, as in other esophageal pathologies, so the differential diagnosis is broad. The histologic features of esophageal Crohn's disease can be nonspecific and increase the diagnostic challenge. Esophageal Crohn's disease should be included in the differential diagnosis of esophageal strictures and may require esophagectomy if medical-endoscopic treatment is not effective.
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References
1. Monteiro S, Moreira MJ, Ribeiro JM et al. Oesophageal presentation of Crohn's disease. BMJ Case Rep 2017;bcr2016217960. DOI: 10.1136/bcr-2016-217960.
2. Vale Rodrigues R, Sladek M, Katsanos K et al. Diagnosis and Outcome of Oesophageal Crohn's Disease. J Crohns Colitis 2020;14(5):624-629. DOI: 10.1093/ecco-jcc/jjz201.
3. Decker GA, Loftus EV Jr, Pasha TM, et al. Crohn's disease of the esophagus: clinical features and outcomes. Inflamm Bowel Dis 2001;7(2):113-9. DOI: 10.1097/00054725-200105000-00006.
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Ruiz Manzanera J, Ruiz de Angulo Martín D, Fernández Pérez J, Munitiz Ruiz V. Esophageal stricture as an initial manifestation of Crohn's disease. 8766/2022


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Publication history

Received: 03/03/2022

Accepted: 04/03/2022

Online First: 14/03/2022

Published: 27/07/2022

Article Online First time: 11 days

Article editing time: 146 days


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