2024 Volume 66 Issue 11 Pages 2570-2576
The 64-year-old male patient with pancreatitis associated with ulcerative colitis (UC) had previously been treated with steroids, tacrolimus, or infliximab. He developed toxic megacolon and subsequently underwent a subtotal colectomy and ileostomy. Approximately five months postoperatively, the patient presented with anorexia. An EGD revealed small yellow spots and erosions in the stomach with deep duodenal ulcers that extended from the duodenal bulb to the horizontal portion. Therefore, the patient was diagnosed with UC-related gastroduodenal lesions and was administered crushed mesalazine, following which the ulcer improved. However, a duodenal stricture was observed, prompting the patient to undergo endoscopic balloon dilation of the strictures. Subsequently, the patientʼs clinical course was uneventful. Notably, there are no previous reports on the efficacy of endoscopic balloon dilatation for UC-related upper gastrointestinal lesions with stenosis.
