INTESTINE Vol.16 No.1(4)

Theme Drug-induced gastrointestinal disorders
Title Low-dose aspirin induced small bowel injury
Publish Date 2012/01
Author Kazuhiro Mizukami Department of Gastroenterology, Oita University Faculty of Medicine
Author Yuka Hirashita Department of Gastroenterology, Oita University Faculty of Medicine
Author Akari Hisamatsu Department of Gastroenterology, Oita University Faculty of Medicine
Author Ryo Ogawa Department of Gastroenterology, Oita University Faculty of Medicine
Author Masahiro Uchida Department of Gastroenterology, Oita University Faculty of Medicine
Author Yoshifumi Nakagawa Department of Gastroenterology, Oita University Faculty of Medicine
Author Tadayoshi Okimoto Department of Gastroenterology, Oita University Faculty of Medicine
Author Masaaki Kodama Department of Gastroenterology, Oita University Faculty of Medicine
Author Kazunari Murakami Department of Gastroenterology, Oita University Faculty of Medicine
[ Summary ] Previous studies have shown NSAIDs (including aspirin) induce small bowel injury. Capsule endoscopy and balloon enteroscopy have made possible the detection of small intestinal lesions. Low-dose aspirin is the main antiplatelet drug for many patients with cardiovascular and cerebrovascular diseases. Recently, Japanese studies have reported that misoprostol and rebamipide are effective for treatment and prevention of aspirin induced small bowel injury. Further studies are required to determine optimal prophylaxis and treatment strategies for patients as soon as possible.
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