The walls of the intestine thicken because of inflammation and scar tissue. Surgery can help some patients. The most important factor is that you find a specialist that you are comfortable with. Every case is different and every patient is different, so make sure you have a doctor that is a specialist and one that you are comfortable with.
Lan He, MD
Specialty: Internal Medicine
Location and Office HoursLan He MD
New York, NY 10013
- Atlantis Health Plan
- CIGNA HealthCare
- GHI HMO
- HIP Health Plan
- Horizon Blue Cross Blue Shield of New Jersey
- Oxford Health Plans/United Healthcare
- United Healthcare
- New York Downtown Hospital
What does Crohn's disease result in?
MediGuard answeredHelpful? 2 people found this helpful.
How does inflammation of the arteries affect the heart?
Michael Roizen, MD, Internal Medicine, answeredInflammation of the arteries causes swelling of the artery walls. This reduces the diameter of the arteries and therefore blood flow. Swelling also causes the blood flow to become turbulent -- that is, not smooth as it should be, but swirling. Turbulent blood flow makes potholes more likely to form in the walls of the arteries, and these potholes provide places where lipids and white blood cells can seep into the wall of the artery. The resulting buildup of lipid deposits along the artery walls (plaque) reduces the diameter of the blood vessel and blood flow even more. All of these events promote inflammation at the tip of the plaque, and clotting at that inflammatory focus, and subsequent cardiovascular disease.
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What are the different types of Crohn's disease?
There are five different types of Crohn's disease, depending on location. By far, the most common location for Crohn's disease is in the terminal ileum (the last part of the small bowel). In fact, historically, it used to be called terminal ileitis. About 35% of people with Crohn’s disease will have only terminal ileal involvement. However, another 35% of people will have disease that's limited to both their small bowel as well as the first third of their colon.
About 20% of people will have Crohn's colitis, which means it involves only the colon, not the small bowel.
About 10% of people have Crohn's disease that involves the proximal gastrointestinal tract, which includes the upper part of the ileum, the jejunum (the middle section of the small bowel), the stomach or the duodenum (the first part of the small bowel). This can also represent a very aggressive form of Crohn's disease that oftentimes requires more aggressive treatments to get under control.
Additionally, up to 30% of people with Crohn’s disease at other locations can also develop perianal disease, which comprises abnormal connections from the last part of the colon, the rectum, to the outer part of the skin around the anus with fistulas. These abnormal connections from either deep ulcerations or active disease can burrow through the rectum, through the muscles and the fat around the rectum, and can lead to the formation of abscesses as well as fistulas. Often, treatment requires a combination approach with surgery, antibiotics and medications.
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