ArticleJournal of gastroenterology2009
Nonsteroidal anti-inflammatory drug-induced small-bowel lesions identified by double-balloon endoscopy: endoscopic features of the lesions and endoscopic treatments for diaphragm disease.
Article in Journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review.World journal of gastroenterology · 2017Pooled it
- Article
- Diaphragm Disease of the Terminal Ileum: The Great Imitator.European journal of case reports in internal medicine · 2024Article
- Protein-losing enteropathy caused by a jejunal ulcer after an internal hernia in Petersen's space: A case report.World journal of clinical cases · 2022Article
- Small Bowel Enteroscopy - A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups.GE Portuguese journal of gastroenterology · 2020Article
- Experience with Balloon Dilatation in Crohn's and Non-Crohn's Benign Small-Bowel Strictures: Is There a Difference?Gastroenterology research and practice · 2019Article
- Characteristics of Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)-Induced Small Bowel Injury Identified by Single-Balloon Endoscopy or Capsule Endoscopy.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Symptomatic isolated terminal ileal ulcers: etiology and clinical significance.Endoscopy international open · 2017Article
- A Curious Case of Intestinal Diaphragm Disease Unmasked by Perforation of a Duodenal Ulcer.Case reports in medicine · 2017Article
- Clinical Features, Diagnosis, and Treatment Strategies of Gastrointestinal Diaphragm Disease Associated with Nonsteroidal Anti-Inflammatory Drugs.Gastroenterology research and practice · 2016Article
- Small bowel diaphragm disease mimicking malignancy.BMJ case reports · 2015Article
- Clinicopathologic features of chronic nonspecific multiple ulcers of the small intestine.Clinical journal of gastroenterology · 2015Review
- Small-bowel mucosal injuries in low-dose aspirin users with obscure gastrointestinal bleeding.World journal of gastroenterology · 2014Article
- Capsule endoscopy: current practice and future directions.World journal of gastroenterology · 2014Review
- Small bowel stricture characterization and outcomes of dilatation by double-balloon enteroscopy: a single-centre experience.Therapeutic advances in gastroenterology · 2014Article
- NSAID enteropathy: could probiotics prevent it?Journal of gastroenterology · 2013Review
- Prevention and management of non-steroidal anti-inflammatory drugs-induced small intestinal injury.World journal of gastroenterology · 2011Review
- Double-contrast barium enteroclysis as a patency tool for nonsteroidal anti-inflammatory drug-induced enteropathy.Digestive diseases and sciences · 2011Article
- Special diaphragm-like strictures of small bowel unrelated to non-steroidal anti-inflammatory drugs.World journal of gastroenterology · 2011Article
- Diaphragm disease compared with cryptogenic multifocal ulcerous stenosing enteritis.World journal of gastroenterology · 2011Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNonsteroidal anti-inflammatory drugs (NSAIDs) occasionally induce small-bowel injury. However, the clinical features have only been partially clarified. The aim of this study was to clarify the clinical features of the disease and evaluate the effectiveness of endoscopic balloon dilation therapy for diaphragm disease, using double-balloon endoscopy (DBE).
methodsThis is a retrospective case study using our DBE database. Our inclusion criteria required patients to meet all the following criteria: (1) history of NSAID use; (2) endoscopic findings of erosion and/or ulcer and/or typical diaphragm-like strictures; (3) improvement in clinical findings (signs and symptoms) and/or endoscopic findings by cessation of NSAIDs, except for diaphragm disease; and (4) exclusion of other causes (e.g., malignant tumor, inflammatory bowel disease, and infectious disease). The clinical records of patients were investigated.
resultsEighteen patients were included. Sixteen patients showed ulcerative lesions, and the remaining 2 patients showed diaphragm diseases. For localized lesions, 12 patients evidenced lesions in the ileum, 5 patients had lesions in the duodenum and/or jejunum, and 1 had lesions in both intestines. The ulcerative lesions were multiple with various morphologies that were located unrelated to mesenteric or antimesenteric sides. The endoscopic balloon dilations were performed safely, and all patients improved with regard to their symptoms.
conclusionsSymptomatic NSAID-induced small-bowel injuries exhibit a variety of patterns of ulcerative lesions as observed in the ileum in many cases. The endoscopic balloon dilation appears to be a safe and effective treatment for diaphragm disease.
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