[Ileal and right colonic strictures due to prolonged non steroidal anti-inflammatory drug intake].
Ileal and right colonic strictures due to long term NSAID intake are well known but rare. We report the case of a patient with rheumatoid arthritis presenting with one ileal, as well as a right and transverse colonic stricture. The latter two were treated by dilatation under colonoscopy, but due to an associated recurrence, and the necessity of treating the ileal stricture which was inaccessible, a transverse ileocolonic shunt was proposed under local anesthesia. Ileal and colonic strictures due to long term NSAID intake should first be treated, if possible, by discontinuing the drug, then by pneumatic dilatations and finally, if necessary, by surgery usually resection. The advantage of a gastrointestinal shunt is that it can be performed under local anesthesia in patients who are often in poor condition.
Faucheron
Jean-Luc
JL
Unité de Chirurgie Colorectale, Département de Chirurgie Digestive et de l'Urgence, Hôpital Michallon, Grenoble. JLFaucheron@chu-grenoble.fr
Sani
Rachid
R
Zeid
Magdy
M
Duprez
Damien
D
Rolachon
Alain
A
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D003108:Colonic Diseases / Q000139:chemically induced* / Q000601:surgery / Q000628:therapy; D003113:Colonoscopy; D003251:Constriction, Pathologic / Q000139:chemically induced / Q000601:surgery / Q000628:therapy; D004106:Dilatation; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000139:chemically induced* / Q000601:surgery / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013997:Time Factors
D000894:Anti-Inflammatory Agents, Non-Steroidal