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Diaphragm disease compared with cryptogenic multifocal ulcerous stenosing enteritis

查看全文 作  者:Sook Hee [1]Chung;Yunju [1]Jo;Sang Ryol [1]Ryu;Sang Bong [1]Ahn;Byoung Kwan [1]Son;Seong Hwan [1]Kim;Young Sook [1]Park;Young Ok [2]Hong 高影响力作者 机构地区:[1]Department of Internal Medicine,Eulji University School of Medicine,Seoul 139-711,South Korea;[2]Department of Pathology,Eulji University School of Medicine,Seoul 139-711,Korea高影响力机构 出  处:《World Journal of Gastroenterology》索引2011年第17卷第23期,共4页高影响力期刊 摘  要:As the use of drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs) increases,so too do gastrointestinal ulcers,bleeding,perforation and obstruction.Diaphragm disease of the small intestine is formed by submucosal fibrosis and destruction of lamina muscularis due to chronic ulceration,which corresponds to the most severe stage of NSAID enteropathy.It may lead to stricture of the small intestine.If such ulcerations and strictures in the small intestine are multiple,differential diagnosis is between diaphragm disease and cryptogenic multifocal ulcerous stenosing enteritis (CMUSE),because the gross findings of diaphragm disease are similar to those of CMUSE.We report a rare case of diaphragm disease caused by NSAID.It has been finally confirmed by capsule endoscopy and the origin of chronic obscure gastrointestinal bleeding was found to be multiple ulcers and strictures in the small intestine.After operation,we diagnosed the patient with diaphragm disease rather than CMUSE. 关 键 词:溃疡性 疾病 狭窄 肠炎 膜片 消化道出血 鉴别诊断 消化道溃疡
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