{"id":9057,"date":"2023-02-16T12:02:00","date_gmt":"2023-02-16T11:02:00","guid":{"rendered":"https:\/\/www.adacyte.com\/?post_type=scientific-corner&p=9057"},"modified":"2024-04-30T14:05:12","modified_gmt":"2024-04-30T12:05:12","slug":"a-case-of-ulcerative-colitis-related-postoperative-enteritis-treated-with-granulocyte-and-monocyte-apheresis-2","status":"publish","type":"scientific-corner","link":"https:\/\/www.adacyte.com\/de\/professional\/scientific-corner\/a-case-of-ulcerative-colitis-related-postoperative-enteritis-treated-with-granulocyte-and-monocyte-apheresis-2\/","title":{"rendered":"A case of ulcerative colitis-related postoperative enteritis treated with granulocyte and monocyte apheresis"},"content":{"rendered":"
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Kazunori Adachi<\/a>\u00a01<\/a><\/sup>,\u00a0Tomoya Sugiyama<\/a>\u00a02<\/a><\/sup>,\u00a0Yoshiharu Yamaguchi<\/a>\u00a02<\/a><\/sup>,\u00a0Yasuhiro Tamura<\/a>\u00a02<\/a><\/sup>,\u00a0Shinya Izawa<\/a>\u00a02<\/a><\/sup>,\u00a0Masahide Ebi<\/a>\u00a02<\/a><\/sup>,\u00a0Yasushi Funaki<\/a>\u00a02<\/a><\/sup>,\u00a0Naotaka Ogasawara<\/a>\u00a02<\/a><\/sup>,\u00a0Makoto Sasaki<\/a>\u00a02<\/a><\/sup>,\u00a0Kunio Kasugai<\/a>\u00a02<\/a><\/sup> Clin J Gastroenterol.\u00a02023 Feb;16(1):43-47.<\/p>\n<\/div>\n\n

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A 46-year-old man, receiving continuous steroid therapy for refractory ulcerative colitis with an insufficient response to anti-tumor necrosis factor-\u03b1 therapy, presented with left buttock pain. He was diagnosed with steroidal left femoral head necrosis, and total proctocolectomy with permanent ileostomy was performed. At 6 months postoperatively, the patient developed general fatigue, abdominal pain, and severe ileostomy diarrhea. Computed tomography revealed continuous intestinal edema from the descending duodenal leg to the upper jejunum. Gastrointestinal endoscopy revealed deep ulcers, coarse mucosa, and duodenal erosion. Based on clinical progress, findings, and pathology, the patient was diagnosed with ulcerative colitis-related postoperative enteritis. Although 5-aminosalicylic acid treatment was initiated, his symptoms persisted, bloody diarrhea from colostomy was observed. Subsequently, granulocyte and monocyte apheresis treatment was added. Symptoms and endoscopic findings improved with granulocyte and monocyte apheresis. Azathioprine was introduced as maintenance therapy, and no sign of recurrence was observed. Although ulcerative colitis-related postoperative enteritis has no definitive treatment, granulocyte and monocyte apheresis may be considered for initial treatment.<\/p>\n<\/div>\n\n

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A case of ulcerative colitis-related postoperative enteritis treated with granulocyte and monocyte apheresis – PubMed (nih.gov)<\/a><\/p>\n<\/div>\n\n

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A case of ulcerative colitis-related postoperative enteritis treated with granulocyte and monocyte apheresis | Clinical Journal of Gastroenterology (springer.com)<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Kazunori Adachi\u00a01,\u00a0Tomoya Sugiyama\u00a02,\u00a0Yoshiharu Yamaguchi\u00a02,\u00a0Yasuhiro Tamura\u00a02,\u00a0Shinya Izawa\u00a02,\u00a0Masahide Ebi\u00a02,\u00a0Yasushi Funaki\u00a02,\u00a0Naotaka Ogasawara\u00a02,\u00a0Makoto Sasaki\u00a02,\u00a0Kunio Kasugai\u00a02 Clin J Gastroenterol.\u00a02023 Feb;16(1):43-47. A 46-year-old man, receiving continuous steroid therapy for refractory ulcerative colitis with an insufficient response to anti-tumor necrosis factor-\u03b1 therapy, presented with left buttock pain. He was diagnosed with steroidal left femoral head necrosis, and total proctocolectomy with permanent ileostomy […]<\/p>\n","protected":false},"template":"","scientific_tags":[92,99,594,157,601,424,714,53,656,775,485,184,306],"class_list":["post-9057","scientific-corner","type-scientific-corner","status-publish","hentry","scientific_tags-anti-tnf","scientific_tags-azathioprine","scientific_tags-clinical-reposnse","scientific_tags-efficacy","scientific_tags-endoscopic-response","scientific_tags-gma","scientific_tags-postoperative-enteritis","scientific_tags-refractory-patients","scientific_tags-salicilates","scientific_tags-small-intestine","scientific_tags-steoids","scientific_tags-thiopurines","scientific_tags-ulcerative-colitis"],"acf":{"sc_authors":"https:\/\/pubmed.ncbi.nlm.nih.gov\/36214972\/<\/a>\r\n\r\nhttps:\/\/link.springer.com\/article\/10.1007\/s12328-022-01716-3<\/a>"},"yoast_head":"\nA case of ulcerative colitis-related postoperative enteritis treated with granulocyte and monocyte apheresis - Adacyte<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-of-ulcerative-colitis-related-postoperative-enteritis-treated-with-granulocyte-and-monocyte-apheresis-2\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A case of ulcerative colitis-related postoperative enteritis treated with granulocyte and monocyte apheresis - Adacyte\" \/>\n<meta property=\"og:description\" content=\"Kazunori Adachi\u00a01,\u00a0Tomoya Sugiyama\u00a02,\u00a0Yoshiharu Yamaguchi\u00a02,\u00a0Yasuhiro Tamura\u00a02,\u00a0Shinya Izawa\u00a02,\u00a0Masahide Ebi\u00a02,\u00a0Yasushi Funaki\u00a02,\u00a0Naotaka Ogasawara\u00a02,\u00a0Makoto Sasaki\u00a02,\u00a0Kunio Kasugai\u00a02 Clin J Gastroenterol.\u00a02023 Feb;16(1):43-47. 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