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- W2080857028 abstract "The typical macroscopic features of Crohn9s disease have been well described and are widely regarded as sufficient to diagnose the disease at laparotomy. We report six patients undergoing laparotomy for symptomatic Crohn9s disease, shown radiologically, who were found to have macroscopically normal small bowel despite careful examination of the bowel by an experienced surgeon. In four cases resection was deferred, but all subsequently deteriorated and required further surgery. Minor abnormalities found by balloon examination of the terminal ileum prompted resection in two further patients. Histology showed an unusually superficial distribution of inflammation, which could explain the negative findings at laparotomy. We conclude that normal laparotomy findings alone do not exclude a diagnosis of clinically important small bowel Crohn9s disease. Crohn9s disease should be considered in patients with persisting symptoms after negative laparotomy." @default.
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- W2080857028 date "1996-01-01" @default.
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- W2080857028 title "Ulcerative colitis complicated by renal cell carcinoma: a series of three patients." @default.
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- W2080857028 doi "https://doi.org/10.1136/gut.38.1.148" @default.
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