| Abstrakt: |
Conclusions Crohn's disease of the stomach is a rare but well-established clinical and pathologic entity. It is not justifiable to assume that isolated granulomatous gastritis is Crohn's disease, although this has been reported as its first manifestation (6, 9). In the stomach the antrum is most commonly involved, and narrowing, rigidity, alteration of mucosal pattern, ulceration, and striking hypomotility are the usual radiologic features. Duodenal involvement is a frequent concomitant. When combined with the typical ileal or colonic lesion, a presumptive clinical diagnosis on the basis of radiologic findings can be made with confidence. Occasionally, as in our patient, the diagnosis can be confirmed histologically by endoscopic biopsy. On the basis of short-term followup, gastric involvement does not appear to portend an unusually bad prognosis. Surgical intervention is recommended only for complications such as perforation or gastric outlet obstruction. |
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