Korean J Gastroenterol.  2017 Feb;69(2):151-154. 10.4166/kjg.2017.69.2.151.

Endoscopic Bamboo Joint-like Appearance of the Stomach in Crohn's Disease

• Seo KI
• Moon W

• KMID: 2383427
• DOI: http://doi.org/10.4166/kjg.2017.69.2.151

Abstract

No abstract available.

MeSH Terms

Crohn Disease*
Stomach*

Figure

• 

  Fig. 1. Colonoscopic finding. (A) In the terminal ileum, diffuse hyperemic mucosa with a few tiny erosions was noted. (B) In the whole colon, multiple longitudinal, deep active ulcers with normal looking intervening mucosa were scattered.

• 

  Fig. 2. Perianal finding with a colonoscopy. A raised 4 mm-sized erosion― round in shape― was noted in the perianal skin.

• 

  Fig. 3. Esophagogastroduodenoscopic finding. (A-D) Multiple bamboo joint-like gastric folds were noted from the cardia to the lesser curvature side of the mid body.

• 

  Fig. 4. Pathologic finding of gastric folds. The gastric mucosa showing multifocal aggregates of mixed inflammatory cells in the lamina propria without granuloma (A: H&E, ×100, B: H&E, ×400).

Reference

References

1. Bernstein CN, Eliakim A, Fedail S, et al. World gastroenterology organisation global guidelines inflammatory bowel disease: update August 2015. J Clin Gastroenterol. 2016; 50:803–818.

2. Yang SK, Yun S, Kim JH, et al. Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986–2005: a KASID study. Inflamm Bowel Dis. 2008; 14:542–549.

3. Suzuki Kurokawa M, Suzuki N. Behcet's disease. Clin Exp Med. 2004; 4:10–20.

4. Kim YS, Kim YH, Lee KM, Kim JS, Park YS. IBD Study Group of the Korean Association of the Study of Intestinal Diseases. Diagnostic guideline of intestinal tuberculosis. Korean J Gastroenterol. 2009; 53:177–186.

5. Moran CP, Neary B, Doherty GA. Endoscopic evaluation in diagnosis and management of inflammatory bowel disease. World J Gastrointest Endosc. 2016; 8:723–732.

6. Lee JM, Lee KM. Endoscopic diagnosis and differentiation of inflammatory bowel disease. Clin Endosc. 2016; 49:370–375.

7. Park JB, Yang SK, Myung SJ, et al. Clinical characteristics at diagnosis and course of Korean patients with Crohn's disease. Korean J Gastroenterol. 2004; 43:8–17.

8. So H, Ye BD, Park YS, et al. Gastric lesions in patients with Crohn's disease in Korea: a multicenter study. Intest Res. 2016; 14:60–68.

9. Ye BD, Jang BI, Jeen YT, et al. Diagnostic guideline of Crohn's disease. Korean J Gastroenterol. 2009; 53:161–176.

10. Turner D, Griffiths AM. Esophageal, gastric, and duodenal manifestations of IBD and the role of upper endoscopy in IBD diagnosis. Curr Gastroenterol Rep. 2009; 11:234–237.

11. Kang MS, Park DI, Park JH, et al. Bamboo joint-like appearance of stomach in Korean patients with Crohn's disease. Korean J Gastroenterol. 2006; 48:395–400.

12. Fujiya M, Sakatani A, Dokoshi T, et al. A Bamboo Joint-Like Appearance is a Characteristic Finding in the Upper Gastrointestinal Tract of Crohn's Disease Patients: A Case-Control Study. Medicine (Baltimore). 2015; 94:e1500.

13. Diaz L, Hernandez-Oquet RE, Deshpande AR, Moshiree B. Upper Gastrointestinal Involvement in Crohn Disease: Histopathologic and Endoscopic Findings. South Med J. 2015; 108:695–700.