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Evaluation des lésions gastroduodénales dans la maladie de Crohn

Screening of gastroduodenal lesions in Crohn's disease

Une étude prospective basée sur la radiologie, l'endoscopie et la biopsieA prospective study based on radiology, endoscopy and biopsy

  • Published:
Acta Endoscopica

Résumé

Dans un groupe de 396 patients atteints de maladie de Crohn, tous les patients — n=65 — porteurs d'anomalies gastroduodénales décelées radiologiquement, ont été soumis à un examen endoscopique avec biopsies. Une atteinte macroscopique évocatrice a été décelée radiologiquement chez 13 patients, endoscopiquement chez 20 patients. Des granulomes sont retrouvés chez 24 patients grâce à l'étude semi-sériée de nombreuses biopsies endoscopiques. Au total 8% des patients ont une atteinte macroscopique et/ou microscopique évocatrice de maladie de Crohn.

Summary

Among 396 patients with Crohn's disease, all patients —_n=65 — with an abnormal gastroduodenal X-ray were submitted to endoscopy with biopsy. Suggestive macroscopic lesions were found after X-ray in 13 patients, after endoscopy in 20 patients. Granuloma were found in 24 patients, using semi-serial sections of multiple biopsies. Overall, 8% of the patients had a macroscopic and/or pathologic involvement of the upper GI tract by Crohn's disease.

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Authors and Affiliations

  1. Service de Gastroentérologie, U.C.L., Cliniques Universitaires Saint-Luc, 10, avenue Hippocrate, 1200, Bruxelles, (Belgique)

    J. C. Debongnie, A. Mouret-Jourin, J. Haot, J. Pringot & P. Mainguet

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  1. J. C. Debongnie
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  2. A. Mouret-Jourin
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  3. J. Haot
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  4. J. Pringot
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  5. P. Mainguet
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Debongnie, J.C., Mouret-Jourin, A., Haot, J. et al. Evaluation des lésions gastroduodénales dans la maladie de Crohn. Acta Endosc 13, 239–243 (1983). https://doi.org/10.1007/BF02970504

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