Esophagus Stomach Duodenum Capsule Endoscopy Inflammatory Bowel Disease Colon & Ileum Miscellaneous

Gastroduodenal Crohn's

Crohn's disease involving the gastric outlet and proximal duodenum, resulting in gastric outlet obstruction. Image on the right shows a view of the stricture as seen through a translucent dilating balloon, which has been inflated in the stricture.

48 year-old man with new-onset Crohn's disease involving the stomach, duodenum and colon. Shown here is the largest of several gastric ulcers.

72 year old man with abdominal pain and known Crohn's colitis. Endoscopy revealed antral gastritis with erosions (left) and duodenal erythema with mucosal granularity (center and right). Biopsies revealed chronic active gastritis negative for H. pylori, and chronic active duodenitis with granulomas.

Left: 23 year old man with abdominal pain and known Crohn's colitis, and Right: 32 year old woman with nausea, vomiting, abdominal pain and known severe Crohn's ileocolitis. In both patients, upper endoscopy was grossly normal, however in both patients biopsies obtained from gastric antrum revealed microscopic chronic active inflammation with granulomas, consistent with gastric Crohn's. Images are included here to illustrate that active disease may not be grossly visible.
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