A Case of Pneumatosis Cystoides Intestinalis Caused by α-glucosidase Inhibitor Treatment
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- Yoshino Yasuaki
- Department of Surgery, Southern Tohoku General Hospital
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- Shiga Koujirou
- Department of Surgery, Southern Tohoku General Hospital
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- Nihei Ken
- Department of Gastroenterology, Southern Tohoku General Hospital
Bibliographic Information
- Other Title
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- α-グルコシダーゼ阻害薬の関与が疑われた腸管囊腫様気腫症の1例
- a-グルコシダーゼ ソガイヤク ノ カンヨ ガ ウタガワレタ チョウカンノウ シュ ヨウキシュショウ ノ 1レイ
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Abstract
<p>A 77-year-old man with a 10-days’ history of abdominal pain and distension was referred to our hospital. Abdominal contrast-enhanced CT revealed massive intestinal emphysema and intraabdominal free air. The patient gave a 6-month history of receiving α-glucosidase inhibitor (α-GI) treatment and of suffering from constipation and abdominal distension during this period. Laparoscopic exploration revealed pneumatosis cystoides intestinalis (PCI), but no evidence of intestinal perforation. We reviewed the data of 32 cases reported in Japan and found that such cases probably require no surgery, including laparoscopic exploration, that a good prognosis can be achieved with conservative treatment, and that there have been no fatalities associated with this condition. Therefore, the possibility should be borne in mind of the development of PCI during α-GI treatment and drugs of this class should be administered with caution.</p>
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 43 (6), 945-948, 2023-09-30
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390581148793822848
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- NDL BIB ID
- 033101323
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
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- Abstract License Flag
- Disallowed