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F. Tonelli, M. Fazi, C. Martino (2010)
Ileocecal Strictureplasty for Crohn’s Disease: Long-Term Results and Comparison with Ileocecal ResectionWorld Journal of Surgery, 34
Int J Colorectal Dis (2009) 24:475–477 DOI 10.1007/s00384-008-0582-1 LETTER TO THE EDITOR Duodenal adenocarcinoma arising at the strictureplasty site in a patient with Crohn’s disease: report of a case Francesco Tonelli & Tatiana Bargellini & Francesca Leo & Gabriella Nesi Accepted: 27 August 2008 /Published online: 13 September 2008 Springer-Verlag 2008 Dear Editor: On account of post-prandial vomiting and weight loss The patient was a 51-year-old man, a heavy smoker, with a (10 kg in 2 months), the patient was readmitted to hospital 24-year history of Crohn’s Disease (CD). He was initially in September 2002. An abdominal computerised tomogra- diagnosed as having Crohn’s proctosigmoiditis with steno- phy (CT) scan showed a stenosis of the third duodenal sis of the anal canal treated with several endoscopic portion measuring 1 cm in length, with marked gastro- dilatations. Barium enteroclysis was performed, giving duodenal dilatation. No duodenal compression by the negative results. The patient was administered mesalazine superior mesenteric artery was evident. After 10 days of and oral steroids for 17 years, achieving symptomatic total parenteral nutrition, the patient was operated. The improvement. In 2000, he had experienced a peri-anal duodenum was entirely mobilised by cutting the Treitz’s fistula and relapse of
International Journal of Colorectal Disease – Springer Journals
Published: Sep 13, 2008
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