Solitary J-pouch ulcer causing pouchitis-like syndrome
Autor: | Peter F.M. Chen, Dido Franceschi, Jen Nan Yuh |
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Rok vydání: | 1986 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Colonic Polyps Gastroenterology Enteritis Lesion Internal medicine Mucosal Ulcer Humans Medicine Intestinal Mucosa Colectomy Ulcer Ileostomy business.industry Proctocolectomy Syndrome General Medicine Pouchitis Ileitis medicine.disease Metronidazole medicine.symptom Pouch business Complication medicine.drug |
Zdroj: | Diseases of the Colon & Rectum. 29:515-517 |
ISSN: | 0012-3706 |
Popis: | A 37-year-old man with familial polyposis coli who had undergone restorative proctocolectomy with a J-pouch as an ileal reservoir developed a solitary mucosal ulcer in the reservoir, causing a pouchitis-like syndrome. There was no endoscopic evidence of further inflammatory changes of the mucosa. The ulcer healed and symptoms subsided after six weeks of therapy with metronidazole followed by tetracycline. Possible causal and pathogenic factors are considered and discussed. Association of this patient's lesion with the nonspecific mucosal inflammatory process described in pouchitis is suggested by similar clinical manifestations and outcome. |
Databáze: | OpenAIRE |
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