CROHN’S DISEASE

George Gershman (2012), "Practical pediatric gastrointestinal endoscopy"

• skip lesions

• rectal sparing, ileo-cecal involvement

George Gershman (2012), “Practical pediatric gastrointestinal endoscopy”.

Lesion: Aphthous

Crohn's stenosis

Dr Federici, Dr Faraci and Dr Rea

Crohn's disease: capsule endoscopy

Dr Federici, Dr Faraci and Dr Rea

Montreal and Paris classification for pediatric Crohn’s disease

Dapemo M, the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512

Dapemo M, the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512

Dapemo M, the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512

Management

• Multiple biopsies (2 or more per section) from rectum, sigmoid colon, descending colon, transverse colon, cecum, and ileum.

• Granulomas were identified in 61% of fully investigated pediatric patients at diagnosis, and 42% of these granulomas were found only in the terminal ileum and upper gastrointestinal tract, a finding that emphasizes the need to biopsy these sites.

World J Gastrointest Pathophysiol, 2015; 6(2): 33–42