Korean J Gastrointest Endosc > Volume 23(2); 2001 > Article
Korean Journal of Gastrointestinal Endoscopy 2001;23(2): 109-112.
비스테로이드성 소염진통제의 장기 사용으로 유발된 하행십이지장 협착 1 예 ( A Case of Stricture of Second Portion of Duodemum Induced by Chronic Use of Nonsteroidal Anti - inflammatory Drug in Patient with Ankylosing Spondylitis and Rheumathoid Arthritis )
지정선(Jeong Seon Ji),정현화(Hyun Wha Chung),임동준(Dong Jun Lim),백창렬(Chang Nyol Paik),노치호(Chee Ho Noh),박수헌(Soo Heon Park),민도준(Do June Min),김진일(Jin Il Kim),한준열(Joon Yul Han),김재광(Jae Kwang Kim),최규용(Gyu Yong Choi),정인식(In Sik Chung),정규원(Kyu Won Chung),선희식(Hee Sik Sun)
In endoscopic clinical research studies of patients who take NSAIDs, 10% to 20% of patients develop gastric ulcers and 4% to 10% develop duodenal ulcers. Ulcers associated with chronic NSAIDs use are typically painless and are located in the prepyloric region of the stomach. These characteristics make NSAIDs potential causes of gastric outlet obstruction. There were multiple cases of single or multiple strictures that were found in the esophagus, small bowel and colon. Most of duodenal strictures were confined to bulbar area. Only one case of duodenal second portion diaphragmlike stricture was reported in association with acetylsalicylic acid. We experienced one case of chronic NSAIDs induced duodenal 2nd portion stricture in ankylosing spondylitis and rhemathoid arthritis patient and reported with a review of literature. (Korean J Gastrointest Endosc 2001;23:109-112)
Key Words: 십이지장 협착 , 비스테로이드성 소염진통제 , Duodenal stricture , NSAIDs
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