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Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy
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±èÇüÈÆ(Kim Hyung-Hun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°ú
±èÀ¯¼±(Kim You-Sun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
¿Á°æ¼±(Ok Kyung-Sun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
·ù¼öÇü(Ryu Soo-Hyung) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
ÀÌÁ¤È¯(Lee Jung-Hwan) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
¹®Á¤¼·(Moon Jeong-Seop) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
ÀÌÇõ»ó(Lee Hyuck-Sang) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ¿Ü°úÇб³½Ç
ÀÌÇý°æ(Lee Hye-Kyung) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø º´¸®Çб³½Ç
Abstract
Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient¡¯s abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
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Ileitis, Ulcerative, Hypoalbuminemia, Malabsorption syndromes, Capsule endoscopy
KMID :
0614620100560060382
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À¯È¿¼º°á°ú(Recomendation)
This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy.