Osada Taro, Shibuya Tomoyoshi, Watanabe Sumio
Department of Gastroenterology, Juntendo University School of Medicine.
Nihon Rinsho. 2010 Nov;68(11):2119-25.
NSAIDs users have a significantly higher incidence of colonic lesions than non-NSAIDs-users. Low-dose aspirin is widely used because it reduces the risk of vascular events in patients with coronary and cerebrovascular disease. There has been a substantial increase in prescriptions for low-dose aspirin in recent years. Recent advances in diagnostic methods including video capsule endoscopy and balloon endoscopy have enabled to observe the entire small intestine, and we now recognize that prevalence of small intestinal lesions. Low-dose aspirin users also have a significantly higher incidence of small and large intestinal lesions than non-low-dose aspirin-users. It is necessary to be aware of not only gastro-duodenal ulcers but also lower intestinal lesions with long-term use of low-dose aspirin.
非甾体抗炎药(NSAIDs)使用者结肠病变的发生率明显高于非NSAIDs使用者。低剂量阿司匹林被广泛使用,因为它能降低冠心病和脑血管疾病患者发生血管事件的风险。近年来,低剂量阿司匹林的处方量大幅增加。包括视频胶囊内镜和气囊内镜在内的诊断方法的最新进展使观察整个小肠成为可能,我们现在也认识到小肠病变的患病率。低剂量阿司匹林使用者的小肠和大肠病变发生率也明显高于非低剂量阿司匹林使用者。长期使用低剂量阿司匹林时,不仅要注意胃十二指肠溃疡,还要注意肠道下段病变。