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非甾体抗炎药所致结肠狭窄:两例报告及文献复习

Nonsteroidal anti-inflammatory drug-induced colonic strictures: two cases and literature review.

作者信息

Gargot D, Chaussade S, d'Alteroche L, Desbazeille F, Grandjouan S, Louvel A, Douvin J, Causse X, Festin D, Chapuis Y

机构信息

Service d'Hépato-Gastroentérologie, Hôpital de Blois, France.

出版信息

Am J Gastroenterol. 1995 Nov;90(11):2035-8.

PMID:7485018
Abstract

We report two patients with large bowel submucosal diaphragm disease associated with nonsteroidal anti-inflammatory drugs (slow release form of diclofenac and phenylbutazone) who were admitted in 1990 and 1991 because of iron deficiency. At colonoscopy, the lumen of the ascending colon was divided into compartments by multiple thin circumferential mucosal membranes. Barium enema showed two short strictures in one patient. Right hemicolectomy was carried out on one patient. The other patient was simply advised to discontinue taking diclofenac and remains well. Such lesions are rare (10 cases have been reported) and resemble those previously described in the small bowel.

摘要

我们报告了两名患有与非甾体抗炎药(双氯芬酸缓释剂型和保泰松)相关的大肠黏膜下隔膜疾病的患者,他们分别于1990年和1991年因缺铁性贫血入院。结肠镜检查时,升结肠管腔被多个薄的环形黏膜膜分隔成多个腔室。钡剂灌肠显示其中一名患者有两个短缩窄。对一名患者实施了右半结肠切除术。另一名患者仅被建议停用双氯芬酸,目前情况良好。此类病变罕见(已报告10例),与先前在小肠中描述的病变相似。

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1
Nonsteroidal anti-inflammatory drug-induced colonic strictures: two cases and literature review.非甾体抗炎药所致结肠狭窄:两例报告及文献复习
Am J Gastroenterol. 1995 Nov;90(11):2035-8.
2
[Membranous constriction of the colon caused by non-steroidal anti-inflammatory drugs--case report].[非甾体抗炎药引起的结肠膜性狭窄——病例报告]
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Colonic Diaphragmatic Disease: The Concerning Dark Depths of NSAIDs.结肠隔膜疾病:非甾体抗炎药令人担忧的深层影响。
Dig Dis Sci. 2025 Apr;70(4):1305-1315. doi: 10.1007/s10620-025-08939-7. Epub 2025 Mar 5.
2
Colonic diaphragm disease secondary to nonsteroidal anti-inflammatory drug use.非甾体抗炎药使用继发的结肠隔膜病
Proc (Bayl Univ Med Cent). 2020 Mar 6;33(3):391-392. doi: 10.1080/08998280.2020.1732162. eCollection 2020 Jul.
3
Clinical Features, Diagnosis, and Treatment Strategies of Gastrointestinal Diaphragm Disease Associated with Nonsteroidal Anti-Inflammatory Drugs.
非甾体抗炎药相关的胃肠道隔膜病的临床特征、诊断及治疗策略
Gastroenterol Res Pract. 2016;2016:3679741. doi: 10.1155/2016/3679741. Epub 2016 Mar 28.
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Medical influences, surgical outcomes: role of common medications on the risk of perforation from untreated diverticular disease.医学影响,手术结果:常见药物在未治疗的憩室疾病穿孔风险中的作用。
World J Gastroenterol. 2013 Sep 28;19(36):5947-52. doi: 10.3748/wjg.v19.i36.5947.
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NSAID-induced diaphragmatic disease of the colon.非甾体抗炎药引起的结肠膈样病变
BMJ Case Rep. 2013 May 24;2013:bcr2012008448. doi: 10.1136/bcr-2012-008448.
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Non-steroidal anti-inflammatory drug-induced colopathy.非甾体抗炎药所致结肠病
BMJ Case Rep. 2011 Feb 8;2011:bcr1020103436. doi: 10.1136/bcr.10.2010.3436.
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Multiple "apple-core" lesions in chronic ischemic colitis: the great masquerader.慢性缺血性结肠炎中的多个“苹果核”病变:极具伪装性的病症。
Am J Gastroenterol. 2009 Nov;104(11):2870-2. doi: 10.1038/ajg.2009.397.
8
Strictures, diaphragms, erosions or ulcerations of ischemic type in the colon should always prompt consideration of nonsteroidal anti-inflammatory drug-induced lesions.结肠中出现的狭窄、隔膜、缺血型糜烂或溃疡,应始终促使人们考虑非甾体抗炎药引起的病变。
World J Gastroenterol. 2005 Oct 7;11(37):5828-33. doi: 10.3748/wjg.v11.i37.5828.
9
Cyclooxygenase 2 selective inhibitor induced bowel stricture: a case report.环氧化酶-2选择性抑制剂诱发肠狭窄:一例报告
Gut. 2004 Jan;53(1):154. doi: 10.1136/gut.53.1.154.
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Aspirin-related small bowel diaphragm disease identified during emergency laparotomy.在急诊剖腹手术中发现的阿司匹林相关性小肠隔膜疾病。
Ulster Med J. 2000 Nov;69(2):175-6.