Esophageal Crohn's Disease Treated “Topically” with Swallowed Aerosolized Budesonide

Author:

Zezos Petros1,Kouklakis Georgios1,Oikonomou Anastasia2,Pitiakoudis Michail3,Simopoulos Constantinos3

Affiliation:

1. Gastrointestinal Endoscopy Unit, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, Greece

2. Department of Radiology, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, Greece

3. 2nd Department of Surgery, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, Greece

Abstract

Proximal Crohn's disease, involving the esophagus, the stomach, the duodenum, and the proximal jejunum, is uncommon. Treatment for proximal Crohn's disease is based on data derived from case series than from controlled trials. We present a case of Crohn's colitis with concomitant proximal esophagogastroduodenal involvement treated with conventional treatment plus swallowed aerosolized budesonide as a novel adjuvant topical treatment for the esophageal disease, and we review the treatment options for proximal Crohn's disease.

Publisher

Hindawi Limited

Subject

General Medicine

Cited by 9 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. It’s What’s Up Front That Counts—Part Two: Esophageal Crohn’s Disease Complicated by Recurrent Upper Gastrointestinal Bleeding;Digestive Diseases and Sciences;2019-11-02

2. Crohn's Disease of the Esophagus, Duodenum, and Stomach;Clinics in Colon and Rectal Surgery;2019-06-17

3. Isolated crohn’s disease of esophagus: a rarest of rare presentation;Gastroenterology & Hepatology: Open Access;2018-09-18

4. IBD LIVE Series—Case 8;Inflammatory Bowel Diseases;2017-10

5. Ulcerous Esophagitis in a Young Immunocompetent Patient;GE Portuguese Journal of Gastroenterology;2016-11

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