内視鏡的粘膜切開ドレナージにて軽快した胃蜂窩織炎の１例

• 高取 健人

  市立三木市民病院消化器内科

• 山下 幸政

  市立三木市民病院消化器内科

• 井上 晴江

  市立三木市民病院消化器内科

• 金城 東浩

  市立三木市民病院消化器内科

• 那須 正道

  市立三木市民病院消化器内科

• 上野 玲

  市立三木市民病院消化器内科

• 伊東 俊夫

  市立三木市民病院消化器内科

書誌事項

タイトル別名

• A CASE OF PHLEGMONOUS GASTRITIS SUCCESSFULLY TREATED BY ENDOSCOPIC DRAINAGE THERAPY USING IT-KNIFE AND MEDICAL THERAPY

抄録

A 54-year-old man was admitted to our hospital suffering from epigastric pain. Laboratory tests showed leukocytosis with the leftshift and elevated CRP level. Abdominal computed tomography and ultrasonography revealed a thickning of the gastric wall and multiple perigastric and perihepatic abscesses. Endoscopy showed edematous and reddened gastric mucosa with white pus. The patient was diagnosed with Phlegmonous gastritis and an endoscopic mucosal incision by IT-knife was performed on admission day on the purpose of the drainage. A large amount of pus was drained into gastric lumen, and the symptom was released on the third day. Treatment with antibiotics was effective and the patient was discharged on the 30th day. Early diagnosis of Phlegmonous gastritis is considered to be difficult and late diagnosis is often fatal. This report details a patient with phlegmonous gastritis who was successfully treated by endoscopic drainage therapy using IT-knife and medical therapy.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 48 (12), 2772-2779, 2006

  一般社団法人 日本消化器内視鏡学会

キーワード

• 胃蜂窩織炎
• 粘膜切開ドレナージ
• ITナイフ
• 保存的加療
• 超音波内視鏡

詳細情報

• CRID: 1390001204219271552
• NII論文ID: 130004254936
• NII論文ID: 10018815521
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.48.2772
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2007118410
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可