Diagnostic yield of upper endoscopy in paediatric patients with Crohn's disease and ulcerative colitis. Subanalysis of the HUPIR registry Marta Kovacs,

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Presentation transcript:

Diagnostic yield of upper endoscopy in paediatric patients with Crohn's disease and ulcerative colitis. Subanalysis of the HUPIR registry Marta Kovacs, Katalin Eszter Muller, Andras Arato, Peter Laszlo Lakatos, Judit B. Kovacs, Agnes Varkonyi, Eniko Solyom, Marianne Polgar, Eva Nemes, Ildiko Guthy, Istvan Tokodi, Gergely Toth, Agnes Horvath, Andras Tarnok, Erika Tomsits, Noemi Csoszánszky, Marta Balogh, Noemi Vass, Piroska Bodi, Antal Dezsofi, Laszlo Gardos, Eva Micskey, Maria Papp, Daniel Szucs, Aron Cseh, Kriszta Molnar, Doloresz Szabo, Gabor Veres Journal of Crohn's and Colitis Volume 6, Issue 1, Pages 86-94 (February 2012) DOI: 10.1016/j.crohns.2011.07.008 Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions

Figure 1 Macroscopic lesions found at upper endoscopy in paediatric patients with Crohn's disease. There was no drug intake nor Helicobacter infection suggesting the lesion is probably related to Crohn's disease. Ulcers (arrows) in the peripyloric region of the antrum (A). Severe ulcer and inflammation involving the whole gastric region (B). Duodenal ulcers (arrows) in the bulbar region (C). Aphthous lesion as an early sign of Crohn's disease (arrow) in the duodenal bulbar region (D). Journal of Crohn's and Colitis 2012 6, 86-94DOI: (10.1016/j.crohns.2011.07.008) Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions

Figure 2 A. The diagnostic yield of EGD for CD on the basis of macroscopic lesions (erosion, ulcer, aphthous lesions) and the presence of granulomas in the UGI tract considering colonic disease localization without granuloma in the colon. B. Macroscopic findings of UC patients on EGD. Journal of Crohn's and Colitis 2012 6, 86-94DOI: (10.1016/j.crohns.2011.07.008) Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions