A Case of Asymptomatic Pneumatosis Cystoides Intestinalis Improved by Discontinuing α-glucosidase Inhibitor

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  • Yoshida Riho
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Inami Mitsuhiro
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Otagaki Yu
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Hamaoka Aya
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Fujiwara Noriko
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Inagaki Saori
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Miyahara Mitsue
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Okanobu Hideharu
    Department of Gastroenterology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Kakizawa Hideaki
    Department of Radiology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
  • Kamei Nozomu
    Department of Endocrinology and Metabolism, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital

Bibliographic Information

Other Title
  • 長期間にわたり無症状で経過しα-グルコシダーゼ阻害薬の中止により改善した腸管囊胞性気腫症の1例
  • チョウキカン ニ ワタリ ムショウジョウ デ ケイカ シa-グルコシダーゼ ソガイヤク ノ チュウシ ニ ヨリ カイゼン シタ チョウカンノウホウセイキシュショウ ノ 1レイ

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Abstract

<p>83歳，男性．65歳で2型糖尿病を指摘され，78歳時にボグリボース0.9 mg内服を開始．全身倦怠感と食欲低下で受診し，腸管囊胞性気腫症（pneumatosis cystoides intestinalis：PCI）と診断．3年前のCT（computed tomography）検査，2年前の下部消化管内視鏡検査でもPCIの所見を認めていた．ボグリボース中止と保存的加療で気腫は消失．α-グルコシダーゼ阻害薬（α-glucosidase inhibitor：α-GI）によるPCIの報告はあまり多くないが，実際は無症状で経過し見逃されている例が多数存在すると考えられる．</p>

Journal

  • Nihon Naika Gakkai Zasshi

    Nihon Naika Gakkai Zasshi 110 (11), 2426-2433, 2021-11-10

    The Japanese Society of Internal Medicine

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