Journal
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
Volume 54, Issue 9, Pages 1075-1080Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/00365521.2019.1656776
Keywords
Crohn's disease; bamboo-joint-like sign; upper gastrointestinal involvement; endoscopy; IBD
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Funding
- program of the Minister of Science and Higher Education under the name Regional Initiative of Excellence in 2019-2022 [002/RID/2018/19]
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Crohn's disease is an inflammatory disorder that can affect the entire gastrointestinal tract but typically involves the ileocecal region. Before endoscopy was widely used, involvement of the esophagus, stomach, and duodenum was thought to be rare. Recent publications demonstrated that not only are upper gastrointestinal lesions common in Crohn's disease (affecting up to 75% of the patients), but they also present characteristic endoscopic findings with potential clinical significance. It was suggested that lesions in the stomach with a bamboo joint-like appearance might be an endoscopic biomarker for Crohn's disease. It was also found that this occurrence is related to a more severe disease course. Our review summarizes the literature, as well as our own observations and considerations, concerning the issue of upper gastrointestinal involvement in Crohn's disease and its clinical meaning.
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