Gastroparesis in patients with inactive Crohn's disease: a case series
<p>Abstract</p> <p>Background</p> <p>Few studies have described patients with foregut dysmotility in inflammatory bowel disease. The aim of this case series was to evaluate clinical characteristics of 5 patients with inflammatory bowel disease and symptoms and signs of...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2007-03-01
|
| Series: | BMC Gastroenterology |
| Online Access: | http://www.biomedcentral.com/1471-230X/7/11 |
| _version_ | 1811245793563115520 |
|---|---|
| author | Oyen Wim JG Hopman Wim PM Kristinsson Jón O Drenth Joost PH |
| author_facet | Oyen Wim JG Hopman Wim PM Kristinsson Jón O Drenth Joost PH |
| author_sort | Oyen Wim JG |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Few studies have described patients with foregut dysmotility in inflammatory bowel disease. The aim of this case series was to evaluate clinical characteristics of 5 patients with inflammatory bowel disease and symptoms and signs of upper gut dysmotility.</p> <p>Case presentations</p> <p>We describe a series of four patients with Crohn's disease and one with indeterminate colitis who presented with severe symptoms and signs of gastroparesis. We reviewed medical records of all cases. Gastric emptying of a solid meal was assessed by scintigraphy. Small bowel enteroclysis, gastroduodenoscopy and colonoscopy with biopsies were performed to estimate the activity of the disease and to exclude organic obstruction. None of the patients had any signs of active inflammation or stricture. All of the patients had markedly delayed gastric emptying with a mean t 1/2 of 234 minutes (range 110–380 minutes; normal values 54–94 minutes).</p> <p>Conclusion</p> <p>Clinicians should consider impaired gastric emptying when evaluating patients with Crohn's disease and severe symptoms of upper gut dysmotility, which cannot be attributed to active inflammation or organic obstruction of the digestive tract. Symptoms in these patients are refractory to various therapeutic interventions including tube feeding and gastric surgery.</p> |
| first_indexed | 2024-04-12T14:44:29Z |
| format | Article |
| id | doaj.art-93108409ab80491795010ed9262a0d8d |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-04-12T14:44:29Z |
| publishDate | 2007-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-93108409ab80491795010ed9262a0d8d2022-12-22T03:28:42ZengBMCBMC Gastroenterology1471-230X2007-03-01711110.1186/1471-230X-7-11Gastroparesis in patients with inactive Crohn's disease: a case seriesOyen Wim JGHopman Wim PMKristinsson Jón ODrenth Joost PH<p>Abstract</p> <p>Background</p> <p>Few studies have described patients with foregut dysmotility in inflammatory bowel disease. The aim of this case series was to evaluate clinical characteristics of 5 patients with inflammatory bowel disease and symptoms and signs of upper gut dysmotility.</p> <p>Case presentations</p> <p>We describe a series of four patients with Crohn's disease and one with indeterminate colitis who presented with severe symptoms and signs of gastroparesis. We reviewed medical records of all cases. Gastric emptying of a solid meal was assessed by scintigraphy. Small bowel enteroclysis, gastroduodenoscopy and colonoscopy with biopsies were performed to estimate the activity of the disease and to exclude organic obstruction. None of the patients had any signs of active inflammation or stricture. All of the patients had markedly delayed gastric emptying with a mean t 1/2 of 234 minutes (range 110–380 minutes; normal values 54–94 minutes).</p> <p>Conclusion</p> <p>Clinicians should consider impaired gastric emptying when evaluating patients with Crohn's disease and severe symptoms of upper gut dysmotility, which cannot be attributed to active inflammation or organic obstruction of the digestive tract. Symptoms in these patients are refractory to various therapeutic interventions including tube feeding and gastric surgery.</p>http://www.biomedcentral.com/1471-230X/7/11 |
| spellingShingle | Oyen Wim JG Hopman Wim PM Kristinsson Jón O Drenth Joost PH Gastroparesis in patients with inactive Crohn's disease: a case series BMC Gastroenterology |
| title | Gastroparesis in patients with inactive Crohn's disease: a case series |
| title_full | Gastroparesis in patients with inactive Crohn's disease: a case series |
| title_fullStr | Gastroparesis in patients with inactive Crohn's disease: a case series |
| title_full_unstemmed | Gastroparesis in patients with inactive Crohn's disease: a case series |
| title_short | Gastroparesis in patients with inactive Crohn's disease: a case series |
| title_sort | gastroparesis in patients with inactive crohn s disease a case series |
| url | http://www.biomedcentral.com/1471-230X/7/11 |
| work_keys_str_mv | AT oyenwimjg gastroparesisinpatientswithinactivecrohnsdiseaseacaseseries AT hopmanwimpm gastroparesisinpatientswithinactivecrohnsdiseaseacaseseries AT kristinssonjono gastroparesisinpatientswithinactivecrohnsdiseaseacaseseries AT drenthjoostph gastroparesisinpatientswithinactivecrohnsdiseaseacaseseries |