Sekiya C, Harada K, Namiki M
Hokkaido Igaku Zasshi. 1981 Sep;56(5):519-28.
The occurrence of intestinal Behçet's disease is not common so that misdiagnosis with inappropriate treatment often results in death. Due to this circumstance intestinal Behçet's disease is noted as a very serious complication of Behçet's disease. The identity of intestinal Behçet's disease and its patient manifestation remain obceure. As members of the national project team for intestinal Behçet's disease, we surveyed the state of intestinal Behçet's disease in Hokkaido. The results are summarized as follows: 1) The occurrence in Hokkaido of intestinal Behçet's disease is higher than the national average in concordance with a high rate of Behçet's disease itself. 2) Intestinal Behçet's disease, incomplete type, was observed to be more frequent in the female which differs from the other complications of Behçet's disease. 3) Ulcers which develop in the ileus are apt to perforate (85.7%) giving rise to frequent emergency operations. On the other hand, ulcers in the ascending colon are not as liable to the perforate (25.0%). 4) Ulcers which develop in the ileum are often round with the part under the surface being quite deep and large. Ulcers in the ascending colon are usually of various shapes and are not very deep. 5) Through a retrospective review of the cases of Behçet's disease, the probability of an ulcer occurring or not is difficult to predict at this time.
肠道白塞病并不常见，误诊及不恰当的治疗常导致死亡。鉴于此情况，肠道白塞病被视为白塞病一种非常严重的并发症。肠道白塞病的特征及其患者表现仍不明确。作为国家肠道白塞病项目团队的成员，我们调查了北海道肠道白塞病的情况。结果总结如下：1）北海道肠道白塞病的发病率高于全国平均水平，这与白塞病本身的高发病率相一致。2）观察发现，不完全型肠道白塞病在女性中更为常见，这与白塞病的其他并发症不同。3）肠梗阻部位出现的溃疡易于穿孔（85.7%），常导致频繁的急诊手术。另一方面，升结肠的溃疡不易穿孔（25.0%）。4）回肠出现的溃疡通常呈圆形，溃疡面下的部分较深且大。升结肠的溃疡通常形状各异，且不太深。5）通过对白塞病病例的回顾性研究，目前难以预测溃疡是否会发生。
