USEFULNESS OF INTRAOPERATIVE ESOPHAGOGASTRO-DUODENOSCOPY IN A PATIENT WITH LUPUS ENTERITIS
スポンサーリンク
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
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Rai Tsuyoshi
Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima
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ORIKASA Hiroshi
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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Saito Keietsu
Department of Internal Medicine II, Fukushima Medical University School of Medicine, Fukushima, 960-
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Kobayashi Hiroko
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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Sasajima Tomomi
Department Of Basic Pathology Fukushima Medical University School Of Medicine
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Saito Hironobu
Department Of Internal Medicine Ii Fukushima Medical University School Of Medicine
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OHIRA HIROMASA
Department of Gastroenterology and Rheumatology
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SAKA MITSURU
Department of Gastroenterology, Fujita General Hospital
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TERASHIMA SHINYA
Surgery, Fujita General Hospital
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OBARA KATSUTOSHI
Endoscopy, Fukushima Medical University School of Medicine
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WATANABE KENYA
Department of Gastroenterology, Fujita General Hospital
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HOSHINO YUTAKA
Surgery I, Fukushima Medical University School of Medicine
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GOTOH MITSUKAZU
Surgery I, Fukushima Medical University School of Medicine
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SAITO KEIETSU
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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Gotoh Mitsukazu
Surgery I , Fukushima Medical University School of Medicine
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Saito Hironobu
Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Japan
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RAI TSUYOSHI
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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