GASTROINTESTINAL COMPLICATIONS OF COLLAGEN DISEASES. SURGICAL IMPLICATIONS.

作者: GEORGE D. COURIS

DOI: 10.1001/ARCHSURG.1964.01320040111019

关键词: ComplicationSurgeryPerforation (oil well)InfarctionSystemic diseaseDermatomyositisVasculitisAbdominal painMedicineCollagen disease

摘要: The patient who has developed a life endangering gastrointestinal complication associated with collagen disease challenges the surgeon problems of early recognition in patients frequently experience abdominal pain as part their systemic disease, execution that emergency treatment and operation most likely to preserve life, careful postoperative management for have limited healing capacity. In some instances diagnosis may not been established prior occurrence complication. Gastrointestinal complications occurring diseases appeared recent literature increasing frequency. Intestinal infarction, perforation, hemorrhage reported periarteritis nodosa, or vasculitis group, 1-8 but also lupus erythematosus dermatomyositis. 9-11 A common pathogenic process is very possible. 12-15 While importance steroid therapy still unsettled, its inability protect prevent

参考文章(15)
R.D.P. Craig, Multiple Perforations af Small Intestine in Polyarteritis Nodosa Gastroenterology. ,vol. 44, pp. 355- 356 ,(1963) , 10.1016/S0016-5085(63)80149-3
Report Of A Case, K. C. McKeown, A. K. Ganguli, Gastro‐intestinal symptoms in polyarteritis nodosa British Journal of Surgery. ,vol. 44, pp. 308- 312 ,(2005) , 10.1002/BJS.18004418515
Case 4-1963 The New England Journal of Medicine. ,vol. 268, pp. 148- 153 ,(1963) , 10.1056/NEJM196301172680311
J. I. Pugh, P. Stringer, Abdominal periarteritis nodosa. British Journal of Surgery. ,vol. 44, pp. 302- 308 ,(2005) , 10.1002/BJS.18004418514
Rowan C. Boylan, Leon Sokoloff, Vascular lesions in dermatomyositis Arthritis & Rheumatism. ,vol. 3, pp. 379- 386 ,(1960) , 10.1002/ART.1780030502
Jacob Rabinovitch, Sam Rabinovitch, Infarction of the small intestine sequent to polyarteritis nodosa of the mesenteric vessels American Journal of Surgery. ,vol. 88, pp. 896- 901 ,(1954) , 10.1016/0002-9610(54)90446-8
Victor E. Pollak, William J. Grove, Robert M. Kark, Robert C. Muehrgke, Conrad L. Pirani, Irving E. Steck, Systemic lupus erythematosus simulating acute surgical condition of the abdomen. The New England Journal of Medicine. ,vol. 259, pp. 258- 266 ,(1958) , 10.1056/NEJM195808072590602
Rodman B. Finkbiner, John P. Decker, Ulceration and Perforation of the Intestine Due to Necrotizing Arteriolitis The New England Journal of Medicine. ,vol. 268, pp. 14- 18 ,(1963) , 10.1056/NEJM196301032680103