Clinical Aspects of Gastrointestinal Lesions in AIDS Patients with Special Reference to Esophageal Lesions Takeshi Nakamura 1 , Masahiro Ikeda 1 1Department of Gastroenterology, Osaka National Hospital Keyword: AIDS , GI lesions , esophagitis , endoscopic diagnosis pp.1146-1154
Published Date 2005/7/25
DOI https://doi.org/10.11477/mf.1403100138
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Among 159 patients of AIDS, 34 patients underwent endoscopy due to GI symptoms, and 20 patients showed GI lesions. All the 15 patients who received upper GI endoscopy, had esophageal lesions. Esophagitis caused by opportunistic infection of Candida, CMV or HSV was suspected in 12 patients. Malignant lymphoma of the stomach was associated in 2 cases. In 5 of 6 patients with colonic lesions, amoebic colitis was diagnosed. GI symptoms were primary ones in 6 patients with UGI lesions and in one patient with a colon lesion. Two patients with malignant lymphoma died. GI lesions in AIDS patients are important not only for presenting a diagnostic opportunity but also for influencing therapeutic course and prognosis. Endoscopists have to be prepared routinely for GI lesions in AIDS patients.

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