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作 者:Ling-Na Ye Jie Mao Zhi-Nong Jiang Qian Cao
机构地区:[1]Department of Gastroenterology,Xiasha Branch of Sir Run Run Shaw Hospital,College of Medicine,Zhejiang University,Hangzhou,Zhejiang 310016,China [2]lnflammatory Bowel Disease Center of Sir Run Run Shaw Hospital,College of Medicine,Zhejiang University,Hangzhou,Zhejiang 310016,China [3]Department of Pathology,Sir Run Run Shaw Hospital,College of Medicine,Zhejiang University,Hangzhou,Zhejiang 310016,China [4]Department of Gastroenterology,Sir Run Run Shaw Hospital,College of Medicine,Zhejiang University,Hangzhou,Zhejiang 310016,China
出 处:《Chinese Medical Journal》2021年第9期1132-1134,共3页中华医学杂志(英文版)
摘 要:To the Editor:Ulcerative colitis(UC)is traditionally known to be confined to the large bowel.The presence of upper gastrointestinal(GI)involvement has long been considered as a sign of Crohn disease(CD)rather than UC.However,involvement of the upper GI and small intestine has previously been reported in UC.[1,2]Importantly,both the symptoms and endoscopic features easily lead to a misdiagnosis of acute erosive or infectious gastroduodenitis.The present case highlights the need to consider upper GI involvement of UC as a differential diagnosis.This case may prompt physician to recognize the possibility of an adult-onset UC subtype involving the upper GI;to consider whether upper GI involvement should be classified as a special and rare type of UC like CD,suggesting that it may be a high-risk factor for active disease or poor prognosis;and to determine whether more aggressive treatment are needed for patients with this kind of condition.
关 键 词:INVOLVEMENT COLON INTESTINE
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