Rinsho Ketsueki
Online ISSN : 1882-0824
Print ISSN : 0485-1439
ISSN-L : 0485-1439
Neutropenic Enterocolitis in Adults with Acute Leukemia
Yoshiro UZUKAYoshiko SAITOHaruhiko TAKAHASHIMari KOMATUTakayu ITO
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1989 Volume 30 Issue 7 Pages 980-987

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Abstract

Neutropenic enterocolitis, also known as typhilitis or ileocecal syndrome, in leukemic patients undergoing chemotherapy has a high reported mortality. A recent increase in the incidence of neutropenic enterocolitis is associated with aggressive chemotherapy for acute leukemia.
In this report, we report the incidence, diagnosis, and treatment of neutropenic enterocolitis during low-dose DCMP and high-dose DCMP regimen for 95 adults with acute nonlymphocytic leukemia, and review the literature pertaining appropriate medical and surgical management, and method of prevention. Finally we propose the favorable results of gut sterilization for the treatment and prevention of the disease.

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© 1989 The Japanese Society of Clinical Hematology
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