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
Treating Crohn's disease that affects the duodenum requires a personalized surgical approach that takes into account the patient's individual health status.
The involvement of the duodenum in Crohn's disease is relatively rare, so it is necessary to summarize the surgical management.
Provide surgical treatment recommendations for duodenal Crohn's disease as a reference for surgeons.
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.
All patients had a chronic relapse, and one had a history of smoking. There were 6 cases with diarrhea, 4 cases with nausea and vomiting, and 9 cases with intestinal obstruction. Among 16 patients, there were 6 cases with primary duodenal Crohn's disease (5 cases had duodenal strictures and 1 case had tumor-like lesions) and 10 cases of secondary duodenal Crohn's disease (6 cases had an internal fistula and 4 cases had no internal fistula).
Surgical treatment for duodenal Crohn's disease should be performed based on the patient's condition and the surgeon's experience.
The incidence of Crohn's disease has been increasing year by year. This study explores surgical management for duodenal Crohn's disease from the perspective of surgeons.