Endoscopic features of chronic nonspecific multiple ulcers of the small intestine: comparison with nonsteroidal anti-inflammatory drug-induced enteropathy

Dig Dis Sci. 2006 Aug;51(8):1357-63. doi: 10.1007/s10620-006-9080-x. Epub 2006 Jul 26.

Abstract

Chronic nonspecific multiple ulcers of the small intestine (CNSU) and nonsteroidal anti-inflammatory drug-induced enteropathy (NSAID-enteropathy) share common clinicopathologic features characterized by histologically nonspecific ulcers and persistent blood loss. The aim was to compare enteroscopic findings between CNSU and NSAID-enteropathy. Four patients with CNSU and five patients with NSAID-enteropathy were examined by enteroscopies. The site of involvement was heterogeneous in NSAID-enteropathy, while the ileum was the predominant site in CNSU. Three patients with NSAID-enteropathy and all four patients with CNSU had concentric stenosis. Circular ulcers were found in all five patients with NSAID-enteropathy and in three patients with CNSU. Active ulcer was seen in only two patients with NSAID-enteropathy. In contrast, all four patients with CNSU had active ulcer. These findings suggest that in patients with persistent GI bleeding and enteroscopically active small intestinal ulcers, CNSU, as well as NSAID-enteropathy, should be considered.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Biopsy
  • Diagnosis, Differential
  • Endoscopy, Gastrointestinal*
  • Female
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / pathology
  • Humans
  • Intestinal Diseases / chemically induced*
  • Intestinal Diseases / complications
  • Intestinal Diseases / pathology*
  • Intestine, Small / pathology*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Severity of Illness Index
  • Ulcer / complications
  • Ulcer / pathology*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal