多種NSAIDsを使用し生じた進行性下部消化管多発潰瘍瘢痕隔膜樣狭窄の1手術例

中尾 健太郎; 角田 明良; 竹中 弘二; 諸原 浩二; 鈴木 直人; 大原 一規; 山崎 勝雄; 草野 満夫; 小川 正純; 井廻 道夫

doi:10.14930/jsma1939.66.52

A CASE OF DIAPHRAGM-LIKE STENOSIS OF THE COLON BY NONSTEROIDAL ANTI-INFLAMMATORY DRUGS

Kentaro NAKAO, Akira TSUNODA, Koji TAKENAKA, Koji MOROHARA, Naoto SUZUKI, Kazunori OOHARA, Katsuo YAMAZAKI, Mitsuo KUSANO, Masazumi OGAWA, Michio IMAWARI

Author information

Kentaro NAKAO
Second Department of Surgery, Showa University School of Medicine
Akira TSUNODA
Second Department of Surgery, Showa University School of Medicine
Koji TAKENAKA
Second Department of Surgery, Showa University School of Medicine
Koji MOROHARA
Second Department of Surgery, Showa University School of Medicine
Naoto SUZUKI
Second Department of Surgery, Showa University School of Medicine
Kazunori OOHARA
Second Department of Surgery, Showa University School of Medicine
Katsuo YAMAZAKI
Second Department of Surgery, Showa University School of Medicine
Mitsuo KUSANO
Second Department of Surgery, Showa University School of Medicine
Masazumi OGAWA
Second Department of Internal Medicine, Showa University School of Medicine
Michio IMAWARI
Second Department of Internal Medicine, Showa University School of Medicine

Keywords: NSAIDs, colorectal disease, colon diaphragm-like stenosis

JOURNAL FREE ACCESS

2006 Volume 66 Issue 1 Pages 52-56

DOI https://doi.org/10.14930/jsma1939.66.52

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Abstract

A 75-year-old woman with rheumatoid arthritis (RA) was admitted to our hospital because of severe anemia. The patient had taken nonsteroidal anti-inflammatory drugs (NSAIDs) for 28 years for RA pain. Colonoscopic findings showed some diaphragm-like stenosis of the right hemicolon. The clinical course of the patient suggested that the ulcers were induced by NSAIDs. We performed right hemicolectomy and the patients QOL improved without recurrence.

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