Clinical Course and Treatment for the Intestinal Behçet and So-called 'Simple Ulcer' Masaaki Matsukawa 1 1Department of Internal Medicine, School of Medicine, Juntendo University Keyword: 腸型Behçet病 , simple ulcer , 臨床経過 , X線所見 , ethanol撒布 pp.303-311
Published Date 1992/3/25
DOI https://doi.org/10.11477/mf.1403106752
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 We studied the relationship between the clinical course and the treatment in patients with intestinal Behçet (11 cases) and so-called ‘simple ulcer’ (13 cases). We classified them by the therapy into 3 groups (A: treated with drugs,B: treated with only one surgical operation,C: treated with more than one operation).

 At initial examination, the lesions which were cured or reduced in size by medical therapy showed shallow ulceration, mild inflammatory polypoid finding and deformity of the intestinal wall.

 In cases where there was recurrence of the abdominal symptoms after the first operation, apparent ulcerations with stenosis near to anastomosis were proved by examination. There was only a short interval between the recurrence of the symptoms and the second operation for the recurrent ulcers. Therefore, postoperative surveillance for detecting small and shallow ulcers must be performed within a short period after the first operaton.

 For patients with such small and shallow ulcers, absolute ethanol-spraying for the ulcer under endoscopy and an elementary diet were effective.

Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.


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