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Gut 2003;52:613; doi:10.1136/gut.52.4.613
Copyright © 2003 BMJ Publishing Group Ltd & British Society of Gastroenterology.
Gut 2003;52:613
© 2003 by BMJ Publishing Group & British Society of Gastroenterology

LETTER

Mucosal tears on endoscopic insufflation

K Hata1, T Watanabe1, T Kanazawa1, S Kazama1, D Shida1, H Nagawa1

1 Department of Surgical Oncology, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo 113- 8655, Japan

Correspondence to:
Correspondence to:
K Hata;
HATAK-SUR@h.u-tokyo.ac.jp

Keywords: ulcerative colitis; mucosal tear; endoscopic insufflation

The first 150 words of the full text of this article appear below.

We read the paper by Cruz-Correa et al (Gut 2002;51:600) with great interest. They reported that similar haemorrhagic lacerations in the colon had not been described in any other gastrointestinal disease. We would like to present a patient with ulcerative colitis (UC) and diversion colitis showing an identical endoscopic finding.

A 32 year old Japanese man suffering from UC for 11 years was referred to our hospital in 1997 for treatment of intractable UC. His past medical history and family history were unremarkable. He had received more than 20 g of oral steroid at the time of referral. Furthermore, his condition was not relieved with medical treatment, and he underwent subtotal colectomy with ileostomy and mucous fistula formation in January 1998. At that time, it was planned to perform pouch operation a few months later. After the first operation, he was free from frequent bowel movements . . . [Full text of this article]

M Cruz-Correa2

2 Department of Medicine, Johns Hopkins University School of Medicine, Meyerhoff Digestive Disease IBD Center, Baltimore, Maryland 21287, USA; macruzco@jhsph.edu


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