USEFULNESS OF INTRAOPERATIVE ESOPHAGOGASTRO-DUODENOSCOPY IN A PATIENT WITH LUPUS ENTERITIS

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概要

• 論文の詳細を見る

• A 19-year-old Japanese woman had melena 2 months after systemic lupus erythematosus was diagnosed. Colonoscopy showed diffuse ulceration with bleeding in the ileum, suggesting that the melena was due to ischemic enteritis associated with lupus enteritis. Because treatment with high doses of steroid, anticoagulants, and cyclophosphamide pulse was ineffective, surgical intervention was planned. On exploration, it was impossible to determine the extent of resection visually. Intraoperative esophagogastroduodenoscopy clearly revealed the border between the ulcer and normal area, permitting successful resection of the ileum and ileostomy. This is the first report to document the usefulness of esophagogastroduodenoscopy in surgical treatment of ischemic enteritis in a patient with systemic lupus erythematosus.

• 福島医学会の論文

著者

• Rai Tsuyoshi

  Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima

• ORIKASA Hiroshi

  Department of Internal Medicine II, Fukushima Medical University School of Medicine

• Saito Keietsu

  Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima, 960-

• Kobayashi Hiroko

  Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine

• Sasajima Tomomi

  Department Of Basic Pathology Fukushima Medical University School Of Medicine

• Saito Hironobu

  Department Of Internal Medicine Ii Fukushima Medical University School Of Medicine

• OHIRA HIROMASA

  Department of Gastroenterology and Rheumatology

• SAKA MITSURU

  Department of Gastroenterology, Fujita General Hospital

• TERASHIMA SHINYA

  Surgery, Fujita General Hospital

• OBARA KATSUTOSHI

  Endoscopy, Fukushima Medical University School of Medicine

• WATANABE KENYA

  Department of Gastroenterology, Fujita General Hospital

• HOSHINO YUTAKA

  Surgery I, Fukushima Medical University School of Medicine

• GOTOH MITSUKAZU

  Surgery I, Fukushima Medical University School of Medicine

• SAITO KEIETSU

  Department of Internal Medicine II, Fukushima Medical University School of Medicine

• Gotoh Mitsukazu

  Surgery I , Fukushima Medical University School of Medicine

• Saito Hironobu

  Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Japan

• RAI TSUYOSHI

  Department of Internal Medicine II, Fukushima Medical University School of Medicine

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