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タイトル直腸粘膜脱症候群(Mucosal Prolapse Syndrome)の一例
タイトルヨミチョクチョウ ネンマク ダツ ショウコウグン Mucosal Prolapse Syndrome ノ イチレイ
タイトル別表記A Case of Mucosal Prolapse Syndrome of the Rectrum
作成者山口, 裕樹
檜垣, 真吾
西明, 真
三谷, 伸之
柳井, 秀雄
多田, 正弘
沖田, 極
山本, 光太郎
岡, 正朗
作成者ヨミヤマグチ, ユウキ
ヒガキ, シンゴ
ニシアキ, マコト
ミタニ, ノブユキ
ヤナイ, ヒデオ
タダ, マサヒロ
オキタ, キワム
ヤマモト, コウタロウ
オカ, マサアキ
作成者別表記Yamaguchi, Yuhki
Higaki, Shingo
Nishiaki, Makoto
Mitani, Nobuyuki
Yanai, Hideo
Tada, Masahiro
Okita, Kiwamu
Yamamoto, Koutarou
Oka, Masaaki
作成者所属山口大学医学部
内容記述(抄録等)Mucosal prolapse syndrome (MPS) of the rectrum is manifested by protruding, ulcerative lesions in the rectal mucosa that result from the common condition of prolapsed rectal mucosa, and is characterized histologically by fibromusculosis of the lamina propria. As it has been shown that habitual constipation with straining is involved in the etiology of MPS, conservative treatment consists of instructing patients to improve their bowel habits, refrain from straining, and allow bowel rest. However, improving bowel evacuation habits is not easy, and local surgical resection is sometimes performed. We eliminated the ulcers associated with MPS in a 20-year-old woman by total parenteral nutrition (TPN).The course was uneventful without recurrence. The patient's main complaints were lower abdominal pain and chronic constipation with straining. Colonoscopy demonstrated MPS ulcers located 7 cm from the anal verge. Histologically, a slight thickening of the muscularis mucosa and fibromusculosis of the lamina propria were observed. Healing of the ulcers was achieved within four weeks after TPN. One year later, the patient's evacuation habits are still not satisfactory, but there has been no recurrence. As MPS is the cause of such ulcers, repairing the mucosal prolapse results in healing of the ulcers.
本文言語jpn
著者キーワード直腸粘膜脱症候群
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
45
4
開始ページ275
終了ページ281
発行日1996-08
著者版/出版社版その他
リポジトリIDB030045000404
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030045000404