Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1159
Peer-review started: February 21, 2023
First decision: March 21, 2023
Revised: March 24, 2023
Accepted: April 28, 2023
Article in press: April 28, 2023
Published online: June 27, 2023
Processing time: 111 Days and 7.4 Hours
The case of Crohn's disease involving the duodenum is rare, and its surgical management requires a thorough understanding.
To investigate the surgical management of duodenal Crohn’s disease.
We systematically reviewed patients diagnosed with duodenal Crohn's disease who underwent surgery in the Department of Geriatrics Surgery of the Second Xiangya Hospital of Central South University from January 1, 2004, to August 31, 2022. The general information, surgical procedures, prognosis, and other information of these patients were collected and summarized.
A total of 16 patients were diagnosed with duodenal Crohn’s disease, where 6 cases had primary duodenal Crohn’s disease, and 10 had secondary duodenal Crohn’s disease. Among patients with primary disease, 5 underwent duodenal bypass and gastrojejunostomy, and 1 received pancreaticoduodenectomy. Among those with a secondary disease, 6 underwent closure of duodenal defect and colectomy, 3 received duodenal lesion exclusion and right hemicolectomy, and 1 underwent duodenal lesion exclusion and double-lumen ileostomy.
Crohn's disease involving the duodenum is a rare condition. Different surgical management should be applied for patients with Crohn's disease presenting with different clinical manifestations.
Core Tip: Crohn's disease is a chronic, incurable inflammatory disease that affects the gastrointestinal tract function and causes extraintestinal complications. Crohn's disease involving the duodenum is a rare condition and different surgical management should be applied for patients with Crohn's disease presenting with different clinical manifestations. This study mainly summarized the surgical approaches and prognosis of 16 patients with duodenal Crohn's disease, thus providing some reference for the surgical management of the disease.