INTESTINE Vol.14 No.1(2-6)

Theme Bloody stools in non -- IBD intestinal disorders
Title Rectal bleeding in postoperative recurrent ulcers due to intestinal Behçet's disease and simple ulcers
Publish Date 2010/01
Author Masaaki Matsukawa Department of Internal Medicine, Toyosu Hospital, Showa University
Author Takashi Sekikawa Department of Internal Medicine, Toyosu Hospital, Showa University
Author Sadanori Kubo Department of Internal Medicine, Toyosu Hospital, Showa University
Author Norihiro Nomura Department of Internal Medicine, Toyosu Hospital, Showa University
Author Ryouji Hayashi Department of Internal Medicine, Toyosu Hospital, Showa University
Author Kyouko Kashima Department of Internal Medicine, Toyosu Hospital, Showa University
Author Dai Sakuma Department of Internal Medicine, Toyosu Hospital, Showa University
Author Masashi Satou Department of Internal Medicine, Toyosu Hospital, Showa University
Author Tomohiko Yoshida Department of Internal Medicine, Toyosu Hospital, Showa University
[ Summary ] Operative recurrence of intestinal Behçet's disease and simple ulcers is frequently observed. We studied the chief complications associated with postoperative recurrent ulcers. Rectal bleeding accounts for 20% of the major complications with postoperative recurrent ulcers. Recurrent ulcers are observed in the anastomotic region. Ulcers with rectal bleeding were smaller than those related to abdominal pain. Patients with rectal bleeding were found to have no inflammatory reaction in relation to WBC or CRP values. We performed spray treatment for recurrent ulcers using absolute ethanol or a Pentasa solution. After spraying ethanol or Pentasa several times, size was reduced, often leaving only scar tissue.
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