Severe Diffuse Duodenitis Successfully Treated with Intravenous Tacrolimus after Colectomy for Ulcerative Colitis

被引：7

作者：

Saito, Keiko ^{[1
]}

Katsuno, Tatsuro ^{[1
]}

Nakagawa, Tomoo ^{[1
]}

Minemura, Shoko ^{[1
]}

Oyamada, Arata ^{[1
]}

Kanogawa, Naoya ^{[1
]}

Saito, Masaya ^{[1
]}

Yoshihama, Sayuri ^{[1
]}

Maruoka, Daisuke ^{[1
]}

Matsumura, Tomoaki ^{[1
]}

Arai, Makoto ^{[1
]}

Tohma, Takayuki ^{[2
]}

Miyauchi, Hideaki ^{[2
]}

Matsubara, Hisahiro ^{[2
]}

Yokosuka, Osamu ^{[1
]}

机构：

[1] Chiba Univ, Grad Sch Med, Dept Gastroenterol & Nephrol K1, Chiba, Japan

[2] Chiba Univ, Grad Sch Med, Dept Frontier Surg M9, Chiba, Japan

来源：

INTERNAL MEDICINE | 2014年 / 53卷 / 21期

关键词：

ulcerative colitis; proctocolectomy; duodenitis; double-balloon enteroscopy; tacrolimus; GASTRODUODENITIS; ENTERITIS; PATIENT;

D O I：

10.2169/internalmedicine.53.1910

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We encountered a rare case of severe diffuse duodenitis associated with ulcerative colitis (UC). A 23-year-old man underwent total proctocolectomy with ileal J-pouch anal anastomosis for UC. He suffered from severe abdominal pain, fever and bloody diarrhea for six months after the surgery. Upper double-balloon enteroscopy disclosed severe diffuse duodenitis, of which the findings were endoscopically and histologically similar to those of colonic lesions of UC. Although the administration of prednisolone was ineffective, treatment with intravenous tacrolimus markedly improved the clinical findings. This is the first report of the successful treatment of severe UC-associated diffuse duodenitis with intravenous tacrolimus.

引用

页码：2477 / 2481

页数：5

共 14 条

[1] Fatal ulcerative panenteritis following colectomy in a patient with ulcerative colitis
Annese, V
Caruso, N
Bisceglia, M
Lombardi, G
Clemente, R
Modola, G
Tardio, B
Villani, MR
Andriulli, A
[J]. DIGESTIVE DISEASES AND SCIENCES, 1999, 44 (06) : 1189 - 1195
[2] Two Cases of Diffuse Duodenitis Associated with Ulcerative Colitis
Endo, Katsuya
Kuroha, Masatake
Shiga, Hisashi
Kakuta, Yoichi
Takahashi, Seiichi
Kinouchi, Yoshitaka
Shimosegawa, Tooru
[J]. CASE REPORTS IN GASTROINTESTINAL MEDICINE, 2012, 2012
[3] Idiopathic small-intestinal inflammation after colectomy for ulcerative colitis
Gooding, Ian R.
Springall, Roger
Talbot, Ian C.
Silk, David B. A.
[J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2008, 6 (06) : 707 - 709
[4] DIAGNOSIS AND CLINICAL COURSE OF ULCERATIVE GASTRODUODENAL LESION ASSOCIATED WITH ULCERATIVE COLITIS: POSSIBLE RELATIONSHIP WITH POUCHITIS
Hisabe, Takashi
Matsui, Toshiyuki
Miyaoka, Masaki
Ninomiya, Kazeo
Ishihara, Hiroshi
Nagahama, Takashi
Takaki, Yasuhiro
Hirai, Fumihito
Ikeda, Keisuke
Iwashita, Akinori
Higashi, Daijiro
Futami, Kitaro
[J]. DIGESTIVE ENDOSCOPY, 2010, 22 (04) : 268 - 274
[5] Diffuse gastroduodenitis and pouchitis associated with ulcerative colitis
Ikeuchi, Hiroki
Hori, Kazutoshi
Nishigami, Takashi
Nakano, Hiroki
Uchino, Motoi
Nakamura, Mitsuhiro
Kaibe, Nobuaki
Noda, Masafumi
Yanagi, Hidenori
Yamamura, Takehira
[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2006, 12 (36) : 5913 - 5915
[6] Ince V, 2014, INT J TRANSPLANT MED, V5, P38
[7] Morphologic Findings in Upper Gastrointestinal Biopsies of Patients With Ulcerative Colitis A Controlled Study
Lin, Jingmei
McKenna, Barbara J.
Appelman, Henry D.
[J]. AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2010, 34 (11) : 1672 - 1677
[8] Distinctive diffuse duodenitis associated with ulcerative colitis
Mitomi, H
Atari, E
Uesugi, H
Nishiyama, Y
Igarashi, M
Arai, N
Ihara, A
Okayasu, I
[J]. DIGESTIVE DISEASES AND SCIENCES, 1997, 42 (03) : 684 - 693
[9] Consensus report of the 2nd international conference on double balloon endoscopy
Pohl, J.
Blancas, J. M.
Cave, D.
Choi, K. Y.
Delvaux, M.
Ell, C.
Gay, G.
Jacobs, M. A. J. M.
Marcon, N.
Matsui, T.
May, A.
Mulder, C. J. J.
Pennazio, M.
Perez-Cuadrado'O, E.
Sugano, K.
Vilmann, P.
Yamamoto, H.
Yano, T.
Zhong, J. J.
[J]. ENDOSCOPY, 2008, 40 (02) : 156 - 160
[10] Optimal dosing of intravenous tacrolimus following pediatric heart transplantation
Robinson, BV
Boyle, GJ
Miller, SA
Law, YM
Myers, JL
Griffith, BP
Webber, SA
[J]. JOURNAL OF HEART AND LUNG TRANSPLANTATION, 1999, 18 (08) : 786 - 791

← 1 2 →