Читать книгу Gastrointestinal Pathology - Группа авторов - Страница 104

The most common clinical presentation in Crohn’s disease is dysphagia. However, esophageal symptoms may be absent or not correlate well with the endoscopic or biopsy findings. In fact, upper gastrointestinal symptoms related to involvement of other organs may predominate.

Figure 2.23 Esophageal granuloma in a previously diagnosed patient with Crohn's disease.

Endoscopically, the mid‐ to distal esophagus is most commonly involved. Findings may include erythema, erythematous nodules, single or multiple erosions, and aphthous or deep punched‐out ulcers, which may mimic pill‐induced esophagitis, but are usually differentiated by the extensive mucosal involvement. Strictures and fistulas may occur.