Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with epigastric pain, early satiety, nausea, and occasional postprandial vomiting. History significant for known Crohn's disease. Symptoms are chronic and refractory to standard PPI therapy. No evidence of gastric outlet obstruction or overt GI bleeding.
Clinical Examination Findings
Abdominal examination reveals mild epigastric tenderness without rebound or guarding. Bowel sounds are normoactive. No palpable masses or organomegaly. Patient is hemodynamically stable; no signs of pallor or cachexia.
Treatment Protocol
Initiate systemic corticosteroid therapy (e.g., Prednisone) to induce remission. Consider escalation to immunomodulators (Azathioprine) or biologic therapy (Anti-TNF agents) if refractory. Continue PPI for symptom management. Monitor for gastric outlet obstruction symptoms.