Unusual case of duodenobiliary fistula complicating Crohn's disease successfully treated with Adalimumab
Arab Journal of Gastroenterology. 2016; 17 (4): 188-190
em Inglês
| IMEMR
| ID: emr-183286
ABSTRACT
Crohn's disease [CD] is characterized by transmural inflammation of the gastrointestinal tract, which predisposes to the formation of fistula. Duodenal involvement occurs in less than 5% of cases and often leads to clinically relevant strictures. However, fistula formation in the duodenum is exceptional. Herein, we report an unusual case of duodenobiliary fistula due to CD occurring in a 65-year-old patient who was successfully treated by anti-tumor necrosis factor [TNF] agents. This case report highlights the efficacy of anti-TNF alpha agents in the treatment of a bilioenteric fistula because it increases the probability of clinical remission and mucosal healing and therefore reduces the need for surgical treatment which may be associated morbidity
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Índice:
IMEMR (Mediterrâneo Oriental)
Idioma:
Inglês
Revista:
Arab J. Gastroenterol.
Ano de publicação:
2016
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