1984 Volume 26 Issue 11 Pages 1924-1931
In this report, we defined duodenitis as cases with erythematous swelling, erosions, or verrucous erosions constituting more than half of the duodenal cap, and without duodenal ulcer. (Figure 1 shows a typical endoscopic view of duodenitis.) In 15, 468 upper G. Lendoscopic examinations performed with a forward-viewing endoscope (GIF-P2 or -P3Olympus Co., Tokyo) between Jan. 1978 and Dec. 1982, 69 cases were diagnosed as duodenitis. 22 cases of them were associated with liver diseases. Any etiologic factors of duodenitis were suggested in 11 cases. The incidence of duodenitis among patients with liver disease was significantly higher than those without liver disease (2.09 % vs 0.42 %). The liver diseases associated in these 11 cases were acute viral hepatitis in 3, chronic viral hepatitis in 4, decompensated cirrhosis in one, drug-induced liver injuries in 2 and constitutional hyperbilirubinemia (Gilbert syndrome) in one. In 8 cases, endoscopy was carried out during acute exacerbation of hepatic dysfunction. In some cases of acute viralhepatitis, improvement of duodenitis with recovery of hepatic function was confirmed by follow-up endoscopy (Figure 2 and 3). These findings suggested that liver diseases, especially acute exacerbation of liver dysfunction might be a causative factor of duodenitis.
