Résumé
Nous rapportons une observation de maladie de Crohn traitée par colectomie totale. Sept semaines après l’intervention, survenait une hémorragie iléale massive traitée avec succès par la pose endoscopique de clips. Un tel traitement endoscopique d’hémorragies massives compliquant une maladie de Crohn peut éviter un traitement chirurgical chez certains patients.
Summary
We report a case of Crohn’s disease treated by colonic resection. Seven weeks after surgery, a massive ileal heamorrhage was stopped endoscopically by using clips. Emergent endoscopic therapy, instead of surgery, can be considered for some patients with complicated Crohn’s Disease in such massive hemorrhage.
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Références
ROBERT J.R., SACHAR D.B., GREENSTEIN A.J. — Severe gastrointestinal hemorrhage in Crohn’s disease.Ann. Surg., 1991,213, 207–211.
RAOUL J.L. — Hémorragies digestives basses abondantes. Approche diagnostique et thérapeutique.Gastroenterol. Clin. Biol., 1995,19, B41–46.
HOMAN W.P., TANG C.K., THORBJARNARSON B. — Acute massive hemorrhage from intestinal Crohn disease.Arch. Surg., 1976,111, 901–907.
KORZENIK J.R. — Massive lower gastrointestinal hemorrhage in Crohn’s disease.Curr. Treat. Options Gastroenterol., 2000,3, 211–216.
EGAWA T., KURODA T., OGAWA H., TADEDA A., KANAZAWA S., HARADA H.et al. — A case of Crohn’s disease with recurrent massive life threatening hemorrhage from terminal ileum.Hepatogastroenterology, 1999,46, 1695–1698.
YOSHIDA Y., KAWAGUCHI A., MATAKI N., MATSUZAKI K., HOKARI R., IWAI A.et al. — Endoscopic treatment of massive lower GI hemorrhage in two patients with ulcerative colitis.Gastrointest. Endosc., 2001,54, 779–781.
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Béchade, D., Desramé, J., Berthelet, O. et al. Hémorragie iléale massive au cours d’une maladie de Crohn. Traitement endoscopique par la pose de clips. Acta Endosc 32, 817–821 (2002). https://doi.org/10.1007/BF03028486
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DOI: https://doi.org/10.1007/BF03028486