www.wjgnet.comwcjd@wjgnet.com世界华人消化杂志2011年10月28日;19(30):3190-3193ISSN1009-3079(print)ISSN2219-2859(online)病例报告CASEREPORT隐源性多灶性溃疡性狭窄性小肠炎1例赵可,彭德银,邸雅南,李丽坤,张波,吴昱美,于丽利,李文杰®■背景资料隐源性多灶性溃疡性狭窄性小肠炎为临床少见病,目前国内外报告50例,多因慢性、反复发作性腹痛、肠梗阻而多次就诊外科.不少患者面临反复、多次手术治疗.赵可,彭德银,邸雅南,李丽坤,张波,北京航天总医院消化内科北京市100076吴昱美,于丽利,李文杰,北京航天总医院消化内镜中心北京市100076作者贡献分布:病例资料由李丽坤与张波整理;内镜图片提取与提供由吴昱美、于丽利与李文杰共同完成;内镜操作与图片分析由彭德银与邸雅南完成;本文写作由赵可完成.通讯作者:赵可,主治医师,100076,北京市,北京航天总医院消化内科.zhaoke2009@163.com电话:010-68383775收稿日期:2011-08-28修回日期:2011-10-18接受日期:2011-10-25在线出版日期:2011-10-28Cryptogenicmultifocalulcerousstenosingenteritis:AreportofonecaseandreviewoftheliteratureKeZhao,De-YinPeng,Ya-NanDi,Li-KunLi,BoZhang,Yu-MeiWu,Li-LiYu,Wen-JieLiKeZhao,De-YinPeng,Ya-NanDi,Li-KunLi,BoZhang,DepartmentofGastroenterology,BeijingAerospaceGen-eralHospital,Beijing100076,ChinaYu-MeiWu,Li-LiYu,Wen-JieLi,DigestiveEndoscopyCenter,BeijingAerospaceGeneralHospital,Beijing100076,ChinaCorrespondenceto:KeZhao,DepartmentofGastroenter-ology,BeijingAerospaceGeneralHospital,Beijing100076,China.zhaoke2009@163.comReceived:2011-08-28Revised:2011-10-18Accepted:2011-10-25Publishedonline:2011-10-28AbstractCryptogenicmultifocalulcerousstenosingen-teritis(CMUSE)isarareconditioncharacterizedbychronicorrelapsingmoderateileusepisodesresultingfrommultiplesmallintestinalstric-tures,multiplesuperficialulcersofthesmallbowelandfavorabletherapeuticeffectofgluco-corticosteroids.HerewereportacaseofCMUSEina77-year-oldfemalewhopresentedwithcol-ickypain,repeatedmoderateileusepisodesandweightloss.Multiplefibrousstricturesandul-cersofthesmallbowelwerefound.Thepatientrespondedtoglucocorticosteroidtreatment.Se-veretandemtightjejunalstenosismaybedilatedendoscopicallybymeansofdoubleballoonen-teroscopy.CMUSEshouldbeconsideredwhenchronicmoderateileusepisodesandmultiplesmallintestinalstricturesandulcersofuncertainetiologyarefound.Doubleballoonenteroscopyenablesprecisediagnosticwork,possibleendo-scopictreatmentofstenosis,andmayobviatetheneedforsurgeryandpreventexcessivesmallbowelresections.KeyWords:Cryptogenicmultifocalulcerousstenos-ingenteritis;Ileus;Smallintestinalulcers;Gluco-corticosteroidsZhaoK,PengDY,DiYN,LiLK,ZhangB,WuYM,YuLL,LiWJ.Cryptogenicmultifocalulcerousstenosingenteritis:Areportofonecaseandreviewoftheliterature.ShijieHuarenXiaohuaZazhi2011;19(30):3190-3193摘要隐源性多灶性溃疡性狭窄性小肠炎(cryptogenicmultifocalulcerousstenosingenteritis,CMUSE),由于多部位、多灶性浅溃疡、多部位狭窄导致患者出现慢性、反复发作性轻中度腹痛等症状.他以对糖皮质激素治疗反应良好为特征.本文报道1例CMUSE,女性,77岁,表现为腹绞痛、肠梗阻和体重减轻、贫血、营养不良等,肠镜发现小肠多部位纤维狭窄和溃疡,对糖皮质激素治疗有反应,严重的连续多部位小肠狭窄可用双气囊小肠镜扩张治疗.总之,当有慢性、轻中度肠梗阻,多灶性小肠溃疡、多部位小肠狭窄及无确定病因时,应考虑为CMUSE.双气囊小肠镜可准确诊断,合理的内镜下治疗可减少手术,避免小肠过多切除.关键词:隐源性多灶性溃疡性狭窄性小肠炎;肠梗阻;小肠溃疡;糖皮质激素赵可,彭德银,邸雅南,李丽坤,张波,吴昱美,于丽利,李文杰.隐源性多灶性溃疡性狭窄性小肠炎1例.世界华人消化杂志2011;19(30):3190-3193http://www.wjgnet.com...
