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: A case report.
- Author:
Jeong Seon JI
1
;
Hyun Wha CHUNG
;
Dong Jun LIM
;
Chang Nyol PAIK
;
Chee Ho NOH
;
Soo Heon PARK
;
Do June MIN
;
Jin Il KIM
;
Joon Yul HAN
;
Jae Kwang KIM
;
Gyu Yong CHOI
;
In Sik CHUNG
;
Kyu Won CHUNG
;
Hee Sik SUN
Author Information
1. Deprartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Duodenal stricture;
NSAIDs
- MeSH:
Anti-Inflammatory Agents, Non-Steroidal;
Arthritis*;
Aspirin;
Colon;
Constriction, Pathologic*;
Duodenal Ulcer;
Esophagus;
Gastric Outlet Obstruction;
Humans;
Spondylitis, Ankylosing*;
Stomach;
Stomach Ulcer;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(2):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
