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KMID : 0614620100560060382
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Korean Journal of Gastroenterology
2010 Volume.56 No. 6 p.382 ~ p.386
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Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy
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Kim Hyung-Hun
Kim You-Sun
Ok Kyung-Sun
Ryu Soo-Hyung
Lee Jung-Hwan
Moon Jeong-Seop
Lee Hyuck-Sang
Lee Hye-Kyung
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Abstract
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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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KEYWORD
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Ileitis, Ulcerative, Hypoalbuminemia, Malabsorption syndromes, Capsule endoscopy
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