Multiple Colon Ulcers with Typical Small Intestinal Lesions Induced by Non-Steroidal Anti-Inflammatory Drugs
| Autor: | Hiroki Yoshita, Momoko Akashi, Hiroshi Mihara, Toshiro Sugiyama, Takeru Hamashima, Sohachi Nanjo, Jun Nishikawa, Yoshiaki Miura, Haruka Fujinami, Shinya Kajiura, Ayumu Hosokawa, Takayuki Ando |
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| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Colon Thiazines Scars Colonoscopy Meloxicam Capsule Endoscopy digestive system Gastroenterology law.invention Capsule endoscopy law Internal medicine Intestine Small Internal Medicine medicine Humans Enteropathy skin and connective tissue diseases Ulcer Aged 80 and over medicine.diagnostic_test business.industry Anti-Inflammatory Agents Non-Steroidal Transverse colon General Medicine Colon ulcers medicine.disease digestive system diseases Discontinuation Thiazoles Female medicine.symptom Gastrointestinal Hemorrhage business medicine.drug |
| Zdroj: | Internal Medicine. 54:1995-1999 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | The diagnosis of NSAID-induced colon ulcers is difficult when the distribution or endoscopic findings are not typical. An 83-year-old woman was transferred to our hospital for hemorrhagic diarrhea. Colonoscopy showed multiple ulcers in the entire colon, particularly longitudinal ulcers in the transverse colon. These were unusual for NSAID-induced colopathy, although she had been on meloxicam. However, capsule endoscopy revealed multiple scars and erosions, characteristic of NSAIDs users. The final diagnosis was NSAID-induced enteropathy, and all lesions were in remission after meloxicam discontinuation. We herein emphasize the value of an endoscopic assessment of the entire digestive tract in the diagnosis of NSAID-induced mucosal lesions. |
| Databáze: | OpenAIRE |
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