USEFULNESS OF INTRAOPERATIVE ESOPHAGOGASTRO-DUODENOSCOPY IN A PATIENT WITH LUPUS ENTERITIS

DOI 機関リポジトリ PubMed 参考文献7件
  • SAITO HIRONOBU
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • KOBAYASHI HIROKO
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • WATANABE KENYA
    Department of Gastroenterology, Fujita General Hospital
  • SAITO KEIETSU
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • RAI TSUYOSHI
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • SASAJIMA TOMOMI
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • ORIKASA HIROSHI
    Department of Internal Medicine II, Fukushima Medical University School of Medicine
  • SAKA MITSURU
    Department of Gastroenterology, Fujita General Hospital
  • HOSHINO YUTAKA
    Surgery I, Fukushima Medical University School of Medicine
  • TERASHIMA SHINYA
    Surgery, Fujita General Hospital
  • GOTOH MITSUKAZU
    Surgery I, Fukushima Medical University School of Medicine
  • OBARA KATSUTOSHI
    Endoscopy, Fukushima Medical University School of Medicine
  • OHIRA HIROMASA
    Department of Internal Medicine II, Fukushima Medical University School of Medicine

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A 19-year-old Japanese woman had melena 2 months after systemic lupus erythematosus was diagnosed. Colonoscopy showed diffuse ulceration with bleeding in the ileum, suggesting that the melena was due to ischemic enteritis associated with lupus enteritis. Because treatment with high doses of steroid, anticoagulants, and cyclophosphamide pulse was ineffective, surgical intervention was planned. On exploration, it was impossible to determine the extent of resection visually. Intraoperative esophagogastroduodenoscopy clearly revealed the border between the ulcer and normal area, permitting successful resection of the ileum and ileostomy. This is the first report to document the usefulness of esophagogastroduodenoscopy in surgical treatment of ischemic enteritis in a patient with systemic lupus erythematosus.

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