NSAID确实能引起肠壁损伤,造成出血甚至形成隔膜。。。

来源: 2012-08-28 11:03:44 [博客] [旧帖] [给我悄悄话] 本文已被阅读:

NSAID associated colitis


 


Causes bleeding, diarrhea or abdominal pain


Endoscopy: small erosions in different parts of colon


Treatment: discontinuation of NSAIDs (Z Gastroenterol 2000;38:957)


Micro: usually mixed inflammatory infiltrate, may also be predominantly neutrophilic or lymphocytic; often erosions, crypt architectural disarray; no granulomas


Micro images: ulcer post-NSAID therapy; erosion and neutrophils


DD: Crohn’s colitis, focal active colitis, ischemic colitis


References: AJCP 1998;110:622, Pathologe 2006;27:65, Adv Anat Pathol 1999;6:213