Small Bowel Tuberculosis Masanao Nakamura 1 , Naoki Ohmiya 1 , Wataru Honda 1 , Osamu Shirai 1 , Hiroyuki Takenaka 1 , Yasumasa Niwa 1 , Hidemi Goto 1 1Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan Keyword: 小腸結核 , ダブルバルーン内視鏡 , カプセル内視鏡 , 化学療法 , 潰瘍 pp.591-596
Published Date 2008/4/24
DOI https://doi.org/10.11477/mf.1403101335
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 The patients of small bowel tuberculosis will increase more because of this aging society and various uses of immunosuppressants. The process of diagnosis was not easy previonsly, but with the introduction of the new endoscopic procedures, video capsule endoscopy and double balloon endoscopy in 2001, it has become possible to observe the whole small bowel. Moreover, such endoscopy will enable us to diagnose asymptomatic patients at an earlier date. We diagnosed four patients with small bowel tuberculosis who completely lacked the gastric and colonic lesions. The features of the endoscopic findings with those patients were that the lesions were mainly seen in the ileum, and their ulcers were shallow and edematous. Chemotherapy is performed as the initial treatment for small bowel tuberculosis. The long-term administration of several medicines is needed for some cases so we recommend the continuation of the administration for over one year.

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