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Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 382-386, 2010.
Artigo em Inglês | WPRIM | ID: wpr-51783
ABSTRACT
Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient's abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Enteropatias Perdedoras de Proteínas / Atrofia / Úlcera / Mastectomia Segmentar / Dor Abdominal / Agregado de Albumina Marcado com Tecnécio Tc 99m / Doença Crônica / Diagnóstico Diferencial / Endoscopia por Cápsula / Ileíte Tipo de estudo: Estudo diagnóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Gastroenterology Ano de publicação: 2010 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Enteropatias Perdedoras de Proteínas / Atrofia / Úlcera / Mastectomia Segmentar / Dor Abdominal / Agregado de Albumina Marcado com Tecnécio Tc 99m / Doença Crônica / Diagnóstico Diferencial / Endoscopia por Cápsula / Ileíte Tipo de estudo: Estudo diagnóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Gastroenterology Ano de publicação: 2010 Tipo de documento: Artigo