Japanese

Intestinal Behçet's Disease and Simple Ulcer of the Small Intestine: Comparison of Enteroscopic Findings Takayuki Matsumoto 1 , Motohiro Esaki 1 , Naoya Kubokura 1 , Atsushi Hirano 1 , Shunichi Yanai 1 , Shin Fujioka 1 , Tomohiko Moriyama 1 , Kouichi Asano 1 , Minako Hirahashi 2 , Shotaro Nakamura 1 , Mitsuo Iida 3 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 3Department of Internal Medicine, Kyushu Central Hospital, Fukuoka, Japan Keyword: Behçet病 , 単純性潰瘍 , 小腸内視鏡 pp.1007-1015
Published Date 2011/6/25
DOI https://doi.org/10.11477/mf.1403102272
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 We reviewed enteroscopic findings in 15 patients with intestinal Behçet's disease or simple ulcer of the small intestine, and compared the findings among patients with DBD(definite Behçet's disease), those with SBD(suspected Behçet's disease)and those with simple ulcer of the small intestine(non-BD). Either capsule endoscopy or balloon-assisted endoscopy identified ileal lesions in 5 patients. The enteroscopic findings included multiple ulcers(5 patients), aphthous ulcers(1 patient)and cobblestone-like appearance(1 patient). 4 of 11 patients with DBD or SBD had ileal lesions, 2 of whom had aphthous lesions or cobblestone-like appearance. In contrast, ileal lesions were found in only 1 of 4 patients with non-BD. While either ileal or colorectal lesions were found in 10 of 15 patients, only one patient with non-BD had both ileal and colonic lesions. These observations suggest that ileal lesions are not infrequent in patients with intestinal Behçet disease or simple ulcer of the small intestine, and that the ileal and that colorectal lesions are different between the 2 diseases.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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