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. 2024 Jul 19;11:1388940. doi: 10.3389/fmed.2024.1388940

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Copyright © 2024 Desmedt, Geldof, Hoorens and Lobaton.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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First esophagogastroduodenoscopy in our centre showing an ulcerative gastritis with gastric outlet stenosis due to large ulcers at the transition between pylorus and bulbus, which could only be passed with a nasogastric endoscope (diameter 5.4 millimeter) (1) and duodenal ulcerations with intermediate normal appearing mucosa (2). Control esophagogastroduodenoscopy six months after induction with Infliximab and azathioprine showing no residual inflammation in the antrum (3) or duodenum (4). Pyloric opening and transition between pylorus and bulbus could be easily passed with a gastric endoscope (diameter 9.9 millimeter).