A case of ulcerative colitis with esophageal ulcer

A case of ulcerative colitis with esophageal ulcer
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溃疡性结肠炎合并食管溃疡1例

DOI:
10.11641/pde.87.1_94
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发表时间:
2015
影响因子:
1.5
通讯作者:
H. Hiraishi
H. Hiraishi
中科院分区:
医学4区
文献类型:
--
作者:
Naoya Izawa;T. Sugaya;A. Kanamori;Ruiko Muraoka;Hitoshi Kino;Masakazu Nakano;K. Tominaga;T. Sasai;H. Hiraishi

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52岁女性左半结肠炎型溃疡性结肠炎(UC)患者因激素依赖型UC而到本院就诊。为了检查她胸部的吞咽疼痛,她接受了食管胃十二指肠镜(EGD)检查,发现食道中段有溃疡。结肠镜检查也显示左半结肠发炎。PPI给药不能改善食道溃疡。然后,开始使用类固醇和免疫调节剂对UC进行诱导治疗,在一周内改善便血和吞咽疼痛。食道溃疡愈合,经EGD证实。她被诊断为罕见的食道溃疡合并UC。
52-year-old woman with a left colitis type ulcerative colitis (UC) was referred to our hospital for the treatment of steroid-dependent UC. For the investigation of her swallowing pain on the chest, she underwent esophagogastroduodenoscopy (EGD), which showed an ulcer in the middle esophagus. Colonoscopy also showed modelate inflammation in the left colon. PPI administration did not improve esophageal ulcer. Then, induction therapy for UC was started with steroid and immunomodulator, which improved bloody stool and also swallowing pain in a week. Healing of esophageal ulcer, was confirmed by EGD. She was diagnosed as a rare case of esophageal ulcer complicated with UC.