Skip to main content

Esophagogastroduodenoscopy (EGD)

  • Chapter
  • First Online:
Atlas of Inflammatory Bowel Diseases
  • 2036 Accesses

Abstract

Endoscopic evaluation of the upper gastrointestinal (GI) tract in inflammatory bowel disease (IBD) is performed either for IBD-related indications or for the evaluation of symptoms that may not be directly related to IBD. Because direct involvement of the upper GI tract usually does not occur with ulcerative colitis, the focus of this chapter will be on upper GI Crohn’s disease (CD). CD is a chronic, idiopathic, inflammatory disease generally involving the ileum and/or colon. It can also affect the whole GI tract from mouth to anus. While involvement of the lower GI tract has been studied in detail, that related to the upper GI tract has not been fully evaluated.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Oberhuber G, Püspök A, Oesterreicher C, Novacek G, Zauner C, Burghuber M, Vogelsang H, Pötzi R, Stolte M, Wrba F. Focally enhanced gastritis: a frequent type of gastritis in patients with Crohn’s disease. Gastroenterology. 1997;112:698–706.

    Google Scholar 

  2. Nugent FW, Roy MA. Duodenal Crohn’s disease: an analysis of 89 cases. Am J Gastroenterol. 1989;84:249–54.

    CAS  PubMed  Google Scholar 

  3. Rutgeerts P, Onette E, Vantrappen G, Geboes K, Broeckaert L, Talloen L. Crohn’s disease of the stomach and duodenum: a clinical study with emphasis on the value of endoscopy and endoscopic biopsies. Endoscopy. 1980;12:288–94.

    Article  CAS  PubMed  Google Scholar 

  4. Kuriyama M, Kato J, Morimoto N, Fujimoto T, Okada H, Yamamoto K. Specific gastroduodenoscopic findings in Crohn’s disease: Comparison with findings in patients with ulcerative colitis and gastroesophageal reflux disease. Dig Liver Dis. 2008;40(6):468–75.

    Google Scholar 

  5. Annunziata ML, Caviglia R, Papparella LG, Cicala M. Upper gastrointestinal involvement of Crohn’s disease: a prospective study on the role of upper endoscopy in the diagnostic work-up. Dig Dis Sci. 2012;57(6):1618–23.

    Google Scholar 

  6. Witte AM, Veenendaal RA, Van Hogezand RA, Verspaget HW, Lamers CB. Crohn’s disease of the upper gastrointestinal tract: the value of endoscopic examination. Scand J Gastroenterol Suppl. 1998;225:100–5.

    CAS  PubMed  Google Scholar 

  7. Van Assche G, Dignass A, Panes J, Beaugerie L, Karagiannis J, Allez M, Ochsenkühn T, Orchard T, Rogler G, Louis E, Kupcinskas L, Mantzaris G, Travis S, Stange E, European Crohn’s and Colitis Organisation (ECCO). The second European evidence-based consensus on the diagnosis and management of Crohn’s disease: definitions and diagnosis. J Crohns Colitis. 2010;4:7–27.

    Article  PubMed  Google Scholar 

  8. Isaacs KL. Upper gastrointestinal tract endoscopy in inflammatory bowel disease. Gastrointest Endosc Clin N Am. 2002;12:451–62.

    Article  PubMed  Google Scholar 

  9. Huchzermeyer H, Paul F, Seifert E, Fröhlich H, Rasmussen CW. Endoscopic results in five patients with Crohn’s disease of the esophagus. Endoscopy. 1977;8:75–81.

    Article  CAS  PubMed  Google Scholar 

  10. Danzi JT, Farmer RG, Sullivan Jr BH, Rankin GB. Endoscopic features of gastroduodenal Crohn’s disease. Gastroenterology. 1976;70:9–13.

    CAS  PubMed  Google Scholar 

  11. Yokota K, Saito Y, Einami K, Ayabe T, Shibata Y, Tanabe H, Watari J, Ohtsubo C, Miyokawa N, Kohgo Y. A bamboo joint-like appearance of the gastric body and cardia: possible association with Crohn’s disease. Gastrointest Endosc. 1997;46:268–72.

    Article  CAS  PubMed  Google Scholar 

  12. Kang MS, Park DI, Park JH, Kim HJ, Cho YK, Sohn CI, Jeon WK, Kim BI. Bamboo joint-like appearance of stomach in Korean patients with Crohn’s disease. Korean J Gastroenterol. 2006;48:395–400.

    PubMed  Google Scholar 

  13. Endo K1, Takahashi S, Shiga H, Kakuta Y, Kinouchi Y, Shimosegawa T. Short and long-term outcomes of endoscopic balloon dilatation for Crohn’s disease strictures. World J Gastroenterol. 2013;19(1):86–91.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dong Il Park .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Park, D.I. (2015). Esophagogastroduodenoscopy (EGD). In: Kim, W., Cheon, J. (eds) Atlas of Inflammatory Bowel Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39423-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-39423-2_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39422-5

  • Online ISBN: 978-3-642-39423-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics