Crohn's disease Mitsuo Nagasaka 1 , Ichiro Hirata 1 1Department of Gastroenterology, Fujita Health University, School of Medicine, Toyoake, Japan Keyword: Crohn病 , 小腸疾患 , 小腸病変 , アフタ様潰瘍 , 狭窄 pp.581-590
Published Date 2008/4/24
DOI https://doi.org/10.11477/mf.1403101334
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 Recently, Crohn's disease has been increasing also in Japan. Now, it is the typical illness of the small intestine. It has become possible to acquire detailed information of the small intestine because of the progress of various inspection devices and technology. Moreover, development of a new curative medicine has made it possible to move from treatments based on nutrition to the medical treatment used in Europe and America.

 Apthoid ulcer/lesion and discrete ulcer are typical early lesions for Crohn's disease. They progress to a longitudinal ulcer after several years, and, eventually, cause complications, such as, stricture, fistula and abscess.

 Moreover, endoscopical dilatation of a severe stricture area is possible, by using double-balloon enteroscopy, and cases where an operation can be avoided are increasing it.

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