臨牀消化器内科 Vol.28 No.5(2-6)


特集名 IBDと合併症
題名 腸管外合併症 (6) 結石
発刊年月 2013年 05月
著者 生野 浩和 藤田保健衛生大学病院消化管内科
著者 平田 一郎 藤田保健衛生大学病院消化管内科
【 要旨 】 潰瘍性大腸炎とクローン病を包括する炎症性腸疾患(IBD)は消化管病変のみならず,全身のいたる場所にさまざまな腸管外合併症を引き起こす.胆石や尿路結石もその一つである.胆石の合併頻度はクローン病では約4.6%,潰瘍性大腸炎では約5%といわれている.尿路結石の合併頻度はクローン病では約6.7%,潰瘍性大腸炎では約3.4%とされている.いずれもIBDに多い合併症の一つといえる.本稿ではそれらの発生頻度に加えて,成因,治療についても解説する.
Theme Complication of Inflammatory Bowel Disease
Title Stones as Extraintestinal Complications of Inflammatory Bowel Disease
Author Hirokazu Ikuno Department of Medicine and Gastroenterology, Fujita Health University, School of Medicine
Author Ichiro Hirata Department of Medicine and Gastroenterology, Fujita Health University, School of Medicine
[ Summary ] Inflammatory bowel disease (IBD) is associated with ulcerative colitis and Crohnʼs disease. It may cause various extraintestinal complications as well as gastrointestinal lesions anywhere in the body. Gallstones and urinary calculus are also associated with IBD. The merger frequency of gallstones is said to be approximately 5 % in connection with ulcerative colitis and approximately 4.6 %, with Crohn's disease. The merger frequency of urinary calculus is said to be approximately 6.7 % in connection with Crohn's disease and approximately 3.4 % with ulcerative colitis. Both conditions are complications from IBD. The origins, treatment options and frequency of occurrence are reported.
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