NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy

NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy

Nonsteroidal anti-inflammatory drugs are known to cause mucosal damage in the stomach and duodenum, which may lead to hemorrhage and perforation. However, these medications may also cause damage in the more distal small bowel. Due to the location of these lesions, currently available diagnostic test...

Full description

Bibliographic Details
Main Authors: Douglas A Shumaker, Kari Bladen, Ronald M Katon
Format: Article
Language:English
Published: Hindawi Limited 2001-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2001/651074
id doaj-61e7fb0bb8cf47d1aae628c7fa5225fb
record_format Article
spelling doaj-61e7fb0bb8cf47d1aae628c7fa5225fb2020-11-24T23:45:10ZengHindawi LimitedCanadian Journal of Gastroenterology0835-79002001-01-0115961962310.1155/2001/651074NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative EnteroscopyDouglas A Shumaker0Kari Bladen1Ronald M Katon2Division of Gastroenterology, Oregon Health Sciences University, Portland, Oregon, USADepartment of Pathology, Oregon Health Sciences University, Portland, Oregon, USADivision of Gastroenterology, Oregon Health Sciences University, Portland, Oregon, USANonsteroidal anti-inflammatory drugs are known to cause mucosal damage in the stomach and duodenum, which may lead to hemorrhage and perforation. However, these medications may also cause damage in the more distal small bowel. Due to the location of these lesions, currently available diagnostic testing may yield false negative results. Two cases of nonsteroidal anti-inflammatory drug-induced small bowel diaphragms presenting as obscure gastrointestinal hemorrhage and recurrent small bowel obstruction, respectively, are discussed. Intraoperative enteroscopy was used to confirm this diagnosis after other diagnostic tests failed to identify the etiology. This procedure may increase the accuracy of exploratory laparotomy in these challenging cases.http://dx.doi.org/10.1155/2001/651074
collection DOAJ
language English
format Article
sources DOAJ
author Douglas A Shumaker
Kari Bladen
Ronald M Katon
spellingShingle Douglas A Shumaker
Kari Bladen
Ronald M Katon
NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
Canadian Journal of Gastroenterology
author_facet Douglas A Shumaker
Kari Bladen
Ronald M Katon
author_sort Douglas A Shumaker
title NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
title_short NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
title_full NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
title_fullStr NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
title_full_unstemmed NSAID-Induced Small Bowel Diaphragms and Strictures Diagnosed with Intraoperative Enteroscopy
title_sort nsaid-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy
publisher Hindawi Limited
series Canadian Journal of Gastroenterology
issn 0835-7900
publishDate 2001-01-01
description Nonsteroidal anti-inflammatory drugs are known to cause mucosal damage in the stomach and duodenum, which may lead to hemorrhage and perforation. However, these medications may also cause damage in the more distal small bowel. Due to the location of these lesions, currently available diagnostic testing may yield false negative results. Two cases of nonsteroidal anti-inflammatory drug-induced small bowel diaphragms presenting as obscure gastrointestinal hemorrhage and recurrent small bowel obstruction, respectively, are discussed. Intraoperative enteroscopy was used to confirm this diagnosis after other diagnostic tests failed to identify the etiology. This procedure may increase the accuracy of exploratory laparotomy in these challenging cases.
url http://dx.doi.org/10.1155/2001/651074
work_keys_str_mv AT douglasashumaker nsaidinducedsmallboweldiaphragmsandstricturesdiagnosedwithintraoperativeenteroscopy
AT karibladen nsaidinducedsmallboweldiaphragmsandstricturesdiagnosedwithintraoperativeenteroscopy
AT ronaldmkaton nsaidinducedsmallboweldiaphragmsandstricturesdiagnosedwithintraoperativeenteroscopy
_version_ 1725496916575256576

Similar Items