A CASE OF SHORT BOWEL SYNDROME RESULTED BY JEJUNOILEAL RESECTION FOR CROHN'S DISEASE WITH MASSIVE HEMORRHAGE
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- SAKATA Yasuhisa
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- IWAKIRI Ryuichi
- Gastrointestinal Endoscopy, Saga Medical School
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- TSUNADA Seiji
- Gastrointestinal Endoscopy, Saga Medical School
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- KIKKAWA Atsushi
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- OTANI Hibiki
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- SHIMODA Ryo
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- SAKATA Hiroyuki
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- YAMAGUTI Kanako
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- FUJISE Takehiro
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
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- OHTUKA Takao
- Srrgely Saga Medical School
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- NAKAFUSA Yuji
- Srrgely Saga Medical School
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- MIYAZAKI Kohji
- Srrgely Saga Medical School
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- AOKI Shigehisa
- patholoyv, Saga Medical School
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- FUJIMOTO Kazuma
- Departnaenl of Internal Medicine, Gastroenterology, Saga Medical School
Bibliographic Information
- Other Title
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- Crohn病の大量出血例に広範囲小腸切除を施行し,術後の短腸症候群を回避できた1例
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Abstract
A 65-year-old man was admitted with a history of blood stools. He presented with sudden onset of massive hemorrhage and developed shock. Gastroduodenoscopy, colonoscopy and angiography revealed no obvious bleeding points. For recurrent bleeding he was taken to surgery. Endoscopical examination in operation revealed changes characteristic of Crohn's disease from jejunum to ileum, 50cm proximal to the ileocecal valve, and then this portion was resected. Glutamine-enriched enteral nutrition led him to early weaning from total parenteral nutrition. Massive hemorrhage in Crohn's disease is rare. Those patients generally received operation and consequently develop short-bowel syndrome. As our experience, glutamine is one of the effective materials which can promote remnant intestinal adaptation in short bowel patients.
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 48 (12), 2780-2785, 2006
Japan Gastroenterological Endoscopy Society
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Details 詳細情報について
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- CRID
- 1390001204219269504
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- NII Article ID
- 130004254934
- 10018815536
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- NII Book ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed