A case of recurrent simple ulcer treated endoscopically with absolute ethanol-spraying.

概要

論文の詳細を見る
A44-year old man was referred to our hospital with a cornplaint of right lower abdominal pain. A round and deep ulcer was demonstrated in the ileocecal region by endoscopy and ileocecal resection was performed. In the resected specimen, the ileocecal ulcer was round, deep (UHV) and non-specific histologically. Recurrence of an ulcer at the anastomotlc slte was found by endoscopy after 7 months of operation. Home enteral nutrition (HEN) was performed, which was not effective. On the second admission, total parenteral nutrition (TPN) was perfomed for 6 weeks. Thereafter, the size of the anastomotic ulcer reduced to one-forth, but the ulcer did not heal completely. On the second session of HEN asymptomatic worse:ning of the anastomotic ulcer was revealed. Therefore, direct spraying of absolute ethanol through endoscopy was performed for acceleration of healing u.nder TPN. The angstomotic ulcer shrinked rapidly and it healed completely eventually. Frorn this case, we think that ethanolspraying is an effective and safe technique for notoriously intractable lesion of recurrent simple ulcer.
社団法人日本消化器内視鏡学会の論文