关键词: 肠内营养, 克罗恩病, 肠狭窄, 胶囊内镜嵌顿

Abstract: A 39-year-old male visited Peking Union Medical College Hospital with chief complain of loose stool for 2 years and abdominal pain with fiver for 2 months. He had significant loss of food intake and weight. His erythrocyte sedimentation rate (ESR) and high sensitive-C reactive protein (hs-CRP) markedly increased and Nutritional Risk Screening 2002 (NRS 2002) scored 5. CT scan revealed enteral stenosis with capsule endoscope incarceration, also entero-enteric fistula and abdominal abscess. Diagnosis of Crohn`s disease was made after excluding enteral tuberculosis. Following 4-month full-dose mesalamine and antibiotics therapy, complications didn`t improve although ESR and hs-CRP decreased evidently. Total enteral nutrition (TEN) was chosen instead of surgery. Finally, closure of fistula, disappearance of abscess, and discharge of capsule endoscopy with relief of stenosis was achieved. This case shows the promising role of enteral nutrition when handling Crohn`s disease patients with multi-complications in surgery-free situations.

Key words: Enteral nutrition, Crohn`s disease, enteric stenosis, capsule endoscope incarceration