Transcription of CHAPTER 98 Small-Intestinal Ulcerations
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CHAPTER 98 Small-Intestinal Ulcerations
JWST654-c98 JWST654-TalleyPrinter: Yet to ComeJuly 4, 2016 13:59 279mm 216mmCHAPTER 98 Small-Intestinal UlcerationsReza Y. Akhtar and Blair S. LewisHenry D. Janowitz Division of Gastroenterology, Mount Sinai School of Medicine, New York, NY, USAS ummaryThe differential diagnoses of ulcers of the small bowel arewell known. They include Crohn s disease, non-steroidal anti-inflammatory drugs (NSAIDs), radiation, vasculitis, medicationeffects, some infections, and certain neoplasms (Table ).Nonetheless, when faced with the finding of ulceration in the smallbowel, it can be difficult to come up with a final diagnosis. Crohn sdisease is most common, but NSAID use is also frequently , then, does a physician make the diagnosis of Crohn s diseasebased on the presence of ulcers seen only on endoscopy, capsule orotherwise?In the past, we were confident in making the diagnosis in the clin-ical setting of pain and diarrhea in a young person in whom a smallbowel series showed ileitis.
JWST654-c98 JWST654-Talley Printer: Yet to Come July 4, 2016 13:59 279mm×216mm CHAPTER 98 Small-Intestinal Ulcerations Reza Y. Akhtar and Blair S. Lewis
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