维普中文期刊产品整合服务

Pneumatosis cystoides intestinalis following alpha-glucosidase inhibitor treatment:A case report and review of the literature

查看全文 作　　者：Tatsuhiro [1]Tsujimoto;Erika [1]Shioyama;Kei [1]Moriya;Hideto [1]Kawaratani;Yasuyo [1]Shirai;Masahisa [1]Toyohara;Akira [1]Mitoro;Jun-ichi [1]Yamao;Hisao [2]Fujii;Hiroshi [1]Fukui 高影响力作者 机构地区：[1]Third Department of Internal Medicine,Nara Medical University,Kashihara,Nara 634-8522,Japan;[2]Department of Endoscopy and Ultrasound,Nara Medical University,Kashihara,Nara 634-8522,Japan高影响力机构 出　　处：《World Journal of Gastroenterology》索引2008年第14卷第39期,共6页高影响力期刊 摘　　要：A 69-year-old man was diagnosed as having myasthenia gravis (MG) in September 2004,and treated with thymectomy and prednisolone. He was then diagnosed as having steroid-induced diabetes mellitus,and received sulfonylurea (SU) therapy in May 2005. An alpha-glucosidase inhibitor (αGI) was added in March 2006,resulting in good glycemic control. He experienced symptoms of abdominal distention,increased flatus,and constipation in October 2007,and was admitted into our hospital in late November with hematochezia. Plain abdominal radiography revealed small linear radiolucent clusters in the wall of the colon. Computed tomography (CT) showed intramural air in the sigmoid colon. Colonoscopy revealed multiple smooth surfaced hemispherical protrusions in the sigmoid colon. The diagnosis of pneumatosis cystoides intestinalis (PCI) was made on the basis of these findings. As the αGI voglibose was suspected as the cause of this patient's PCI,treatment was conservative,ceasing voglibose,with fasting and fluid supplementation. The patient progressed well,and was discharged 2 wk later. Recently,several reports of PCI associated with αGI therapy have been published,predominantly in Japan where αGIs are commonly used. If the use of αGIs becomes more widespread,we can expect more reports of this condition on a global scale. The possibility of PCI should be considered in diabetic patients complaining of gastrointestinal symptoms,and the gastrointestinal tract should be thoroughly investigated in these patients. 关 键 词：葡萄苷酶抑制剂 结肠镜 糖尿病 肠积气
相关文献

参考文献(30)

引证文献(18)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费