Börsch G, Jahnke A, Bergbauer M, Nebel W
Dis Colon Rectum. 1983 Nov;26(11):732-5. doi: 10.1007/BF02554985.
We present a case of solitary nonspecific ileal ulcer found by coloileoscopy in a patient with previously assumed irritable bowel syndrome. Follow-up endoscopies two weeks after initiation of short-term prednisone therapy, and again four months later, demonstrated rapid and persistent healing. This observation raises the question of whether or not primary ileal ulcers are indeed as rare as previously assumed when only surgical and autopsy findings were taken into consideration. Also, the natural history of this clinical entity, in general, could be somewhat more benign than suggested by those ulcers in which complications make surgery necessary, since these cases may not adequately reflect the full clinical spectrum of nonspecific small-bowel ulcers.
我们报告一例在一名先前被诊断为肠易激综合征的患者中通过结肠镜检查发现的孤立性非特异性回肠溃疡病例。在开始短期泼尼松治疗两周后以及四个月后再次进行的随访内镜检查显示溃疡迅速且持续愈合。这一观察结果引发了一个问题，即当仅考虑手术和尸检结果时，原发性回肠溃疡是否真的像之前认为的那样罕见。此外，一般来说，这种临床病症的自然病程可能比那些因并发症而需要手术的溃疡所显示的情况更为良性，因为这些病例可能无法充分反映非特异性小肠溃疡的完整临床谱。
