INTESTINE Vol.21 No.6(2-3)


特集名 小腸の炎症性病変を見直す
題名 各論(3)染色体異常(トリソミー8)と小腸潰瘍症
発刊年月 2017年 11月
著者 梁井 俊一 岩手医科大学消化器内科消化管分野
著者 菅井 有 岩手医科大学病理診断学講座
著者 松本 主之 岩手医科大学消化器内科消化管分野
【 要旨 】 ベーチェット病患者はしばしば骨髄異形成症候群を合併し,合併例では染色体異常の一つであるトリソミー8が高率に認められる.また,トリソミー8陽性骨髄異形成症候群のベーチェット病患者では腸管潰瘍を伴うことが多い.以上のことから,トリソミー8と消化管潰瘍の関係が注目されている.一方,近年バルーン内視鏡やカプセル内視鏡の普及により小腸の観察が容易となり,トリソミー8を伴う骨髄異形成症候群患者における小腸病変の報告が集積されつつある.トリソミー8陽性患者の潰瘍性病変は治療抵抗性かつ難治性に経過することが多いので,さらなる病態の解明が必要と思われる.
Theme Reviewing inflammatory diseases of small bowel
Title Chromosomal abnormalities related to trisomy 8 and small intestinal ulcers
Author Shunichi Yanai Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University
Author Tamotsu Sugai Division of Molecular Diagnostic Pathology, Department of Pathology, Iwate Medical University
Author Takayuki Matsumoto Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University
[ Summary ] There have been several descriptions of the relationship between trisomy 8 associated, myelodysplastic syndrome (MDS) and intestinal Behçet's disease (BD). It has also been reported that intestinal ulcers occur more frequently in MDS patients with trisomy 8 than those without. These observations strongly suggest that trisomy 8 plays an important role in the pathogenesis of intestinal ulcers. Furthermore, widespread use of enteroscopy, including balloon-assisted endoscopy and capsule endoscopy has contributed to the detection of small bowel lesions in patients with BD and trisomy 8. Since recent literature suggests that trisomy 8 is associated with refractory conditions and poor prognoses for intestinal BD, further research on the topic, particulary the association between trisomy 8 and intestinal ulcers, seems essential.
戻る