Brenna E, Sandvik A K, Kleveland P M, Waldum H L
Gastroenterologisk seksjon Medisinsk avdeling Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1995 Apr 20;115(10):1225-7.
Non-steroidal anti-inflammatory drugs can cause side effects in the large bowel. We describe two cases which illustrate some of the aspects associated with this problem, and briefly outline the different types of side effects encountered, and possible pathogenetic mechanisms. It is emphasized that non-steroidal anti-inflammatory drugs can cause exacerbation of quiescent colitis in patients with inflammatory bowel disease. The use of these drugs in such patients should be very restrictive. Non-steroidal anti-inflammatory drugs can also precipitate de novo colitis. They are also associated with collagenous colitis, non-gangrenous ischemic colitis, complications to diverticular disease, and ulceration of the colon.
非甾体抗炎药可引起大肠的副作用。我们描述了两个案例,说明了与此问题相关的一些方面,并简要概述了所遇到的不同类型的副作用以及可能的发病机制。需要强调的是,非甾体抗炎药可使炎症性肠病患者的静止性结肠炎加重。在此类患者中使用这些药物应非常谨慎。非甾体抗炎药还可引发原发性结肠炎。它们还与胶原性结肠炎、非坏疽性缺血性结肠炎、憩室病并发症以及结肠溃疡有关。