経胃瘻的内視鏡にて経過を観察しえた上部空腸に発症した非閉塞性腸管虚血症の1例

真崎 茂法; 高橋 宏和; 山北 圭介; 本城 信吾; 森田 康太郎; 高木 秀雄; 森園 竜太郎; 草間 敬司; 水尾 仁志; 内沢 政英

doi:10.11280/gee.56.2177

A CASE OF NON-OCCLUSIVE MESENTERIC ISCHEMIA IN THE UPPER JEJUNUM OBSERVED BY TRANSGASTROSTOMIC ENDOSCOPY

Shigenori MASAKI, Hirokazu TAKAHASHI, Keisuke YAMAKITA, Shingo HONJO, Kotaro MORITA, Hideo TAKAGI, Ryutaro MORIZONO, Keiji KUSAMA, Hitoshi MIZUO, Masahide UCHIZAWA

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JOURNAL FREE ACCESS

2014 Volume 56 Issue 7 Pages 2177-2182

DOI https://doi.org/10.11280/gee.56.2177

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Abstract

An 83-year-old man was fed through a gastrostomy tube and underwent rehabilitation at our hospital due to aftereffects of subarachnoid hemorrhage. Non-occlusive mesenteric ischemia (NOMI) in the upper jejunum occurred in March 2012. Transgastrostomic endoscopy (TGE) was performed to inspect how the jejunal mucosa was damaged on day 1. Abrasion and edema of the mucosa with oozing were observed along a span of over 30 centimeters of the upper jejunum. Mucosal necrosis over a wide area was observed by TGE on day 9. This is a valuable case in which NOMI was observed by TGE.

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