Abstract
s / Digestive and Liver Disease 47S (2015) e237–e276 e259 In two patients the disease was refractory to medical and nutritional treatment, hence surgical intervention was required (gastrointestinal bypass with “Roux-en-Y” and gastroenteroanastomosis after temporary jejunostomy in one case and duodenal strictureplasty in the second case). The third casewas responsive to medical treatment (steroids, azathioprine, and subsequently infliximab). Despite gastroduodenal localisation of CD is rare, it should be suspected in patients with upper GIT symptoms. An accurate history is important. Medical treatment should be attempted in first instance but surgerymay be required in cases of severe obstructive disease unresponsive to the medical approach. http://dx.doi.org/10.1016/j.dld.2015.07.107
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