| 隐源性多灶性溃疡性狭窄性小肠炎1例 |
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| 引用本文： | 赵可,彭德银,邸雅南,李丽坤,张波,吴昱美,于丽利,李文杰.隐源性多灶性溃疡性狭窄性小肠炎1例[J].世界华人消化杂志,2011(30). |
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| 作者姓名： | 赵可 彭德银 邸雅南 李丽坤 张波 吴昱美 于丽利 李文杰 |
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| 作者单位： | 北京航天总医院消化内科;北京航天总医院消化内镜中心; |
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| 摘 要： | 隐源性多灶性溃疡性狭窄性小肠炎(cryptogenic multifocal ulcerous stenosing enteritis,CMUSE),由于多部位、多灶性浅溃疡、多部位狭窄导致患者出现慢性、反复发作性轻中度腹痛等症状.他以对糖皮质激素治疗反应良好为特征.本文报道1例CMUSE,女性,77岁,表现为腹绞痛、肠梗阻和体重减轻、贫血、营养不良等,肠镜发现小肠多部位纤维狭窄和溃疡,对糖皮质激素治疗有反应,严重的连续多部位小肠狭窄可用双气囊小肠镜扩张治疗.总之,当有慢性、轻中度肠梗阻,多灶性小肠溃疡、多部位小肠狭窄及无确定病因时,应考虑为CMUSE.双气囊小肠镜可准确诊断,合理的内镜下治疗可减少手术,避免小肠过多切除.
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| 关 键 词： | 隐源性多灶性溃疡性狭窄性小肠炎 肠梗阻 小肠溃疡 糖皮质激素 |
Cryptogenic multifocal ulcerous stenosing enteritis: A report of one case and review of the literature |
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| Ke Zhao,De-Yin Peng,Ya-Nan Di,Li-Kun Li,Bo Zhang.Cryptogenic multifocal ulcerous stenosing enteritis: A report of one case and review of the literature[J].World Chinese Journal of Digestology,2011(30). |
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| Authors: | Ke Zhao De-Yin Peng Ya-Nan Di Li-Kun Li Bo Zhang |
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| Institution: | Ke Zhao,De-Yin Peng,Ya-Nan Di,Li-Kun Li,Bo Zhang,Department of Gastroenterology,Beijing Aerospace General Hospital,Beijing 100076,China Yu-Mei Wu,Li-Li Yu,Wen-Jie Li,Digestive Endoscopy Center,China |
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| Abstract: | Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare condition characterized by chronic or relapsing moderate ileus episodes resulting from multiple small intestinal strictures, multiple superficial ulcers of the small bowel and favorable therapeutic effect of glucocorticosteroids. Here we report a case of CMUSE in a 77-year-old female who presented with colicky pain, repeated moderate ileus episodes and weight loss. Multiple fibrous strictures and ulcers of the small bowel were found. The ... |
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| Keywords: | Cryptogenic multifocal ulcerous stenosing enteritis Ileus Small intestinal ulcers Glucocorticosteroids |
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