Jejunitis


Jejunitis is inflammation of the lining of the middle section of the small intestine.[1] It is characterized by severe abdominal pain, vomiting containing bile, and foul smelling loose stools.[2] Acute jejunitis comes on suddenly and usually only lasts a few days. Less commonly, a chronic condition may cause persistent jejunitis.[3]

Small intestine diagram including the jejunum
Small intestine diagram including the jejunum

Jejunoileitis

Jejunoileitis is Crohn's disease of the Jejunum.[4] Jejunoileitis is an uncommon type of Crohn's disease with high morbidity and challenges in medical management. Common symptoms include:

  • Colicky abdominal pain (91%)
  • Weight loss (62%)
  • Diarrhea (53%)

Most patients had severe symptoms and required at least one operation for jejunoileitis, with two-thirds of patients requiring two or more operations. The combination of anti-inflammatory drugs with the relief of recurrent obstructive symptoms by strictureplasty and resection can together produce a good long term prognosis in most patients with jejunoileitis.

References

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