What are the roles of upper endoscopy and esophagogastroduodenoscopy (EGD) in the diagnosis of pediatric Crohn disease?

Updated: Oct 23, 2018
  • Author: Andrew B Grossman, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Upper endoscopy, or esophagogastroduodenoscopy (EGD), should be part of the first-line investigation in all new cases of suspected Crohn disease. It is useful in planning therapy and in differentiating between Crohn disease and UC, especially if granulomas are present. Clinically significant upper GI inflammation can be present in the absence of upper GI symptoms.


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