Fukushima J. Med. Sci.,
Vol. 54, No. 1, 2008
[Case Report]
USEFULNESS OF INTRAOPERATIVE ESOPHAGOGASTRO-
DUODENOSCOPY IN A PATIENT WITH LUPUS ENTERITIS
HIRONOBU SAITO1), HIROKO KOBAYASHI1), KENYA WATANABE2),
KEIETSU SAITO1), TSUYOSHI RAI1), TOMOMI SASAJIMA1),
HIROSHI ORIKASA1), MITSURU SAKA2), YUTAKA HOSHINO3),
SHINYA TERASHIMA4), MITSUKAZU GOTOH3), KATSUTOSHI OBARA5)
and HIROMASA OHIRA1)
1)Department of Internal Medicine II, 3)Surgery I and 5)Endoscopy, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan, 2)Department of Gastroenterology and 4)Surgery, Fujita General Hospital, Fukushima, 969-1751, Japan
(Received December 7, 2006, accepted December 11, 2007)
Abstract: A 19-year-old Japanese woman had melena 2 months after systemic lupus erythematosus was diagnosed. Colonoscopy showed diffuse ulceration with bleeding in the ileum, suggesting that the melena was due to ischemic enteritis associated with lupus enteritis. Because treatment with high doses of steroid, anticoagulants, and cyclophosphamide pulse was ineffective, surgical intervention was planned. On exploration, it was impossible to determine the extent of resection visually. Intraoperative esophagogastroduodenoscopy clearly revealed the border between the ulcer and normal area, permitting successful resection of the ileum and ileostomy. This is the first report to document the usefulness of esophagogastroduodenoscopy in surgical treatment of ischemic enteritis in a patient with systemic lupus erythematosus.
Key words: intraoperative esophagogastroduodenoscopy, lupus enteritis
斎藤広信，小林浩子，渡辺研也，斎藤桂悦，雷 毅，佐々島朋美，折笠博史，坂 充，星野 豊，寺島信也，後藤満一，小原勝敏，大平弘正
Corresponding author: H. Kobayashi, M.D
E-mail: hkoba@fmu.ac.jp.
http://www.fmu.ac.jp/home/lib/F-igaku/
http://www.sasappa.co.jp/online/