Diaphragm disease of duodenum following long-term NSAIDs use: endoscopic management

Indian J Gastroenterol. 2004 Sep-Oct;23(5):189-90.

Abstract

We report our experience with endoscopic management of 3 men (aged 62, 63 and 65 years) with duodenal diaphragm disease following NSAID use for 5-15 years. In the first patient a 24 F through-the-scope balloon dilatation was attempted but failed; he subsequently underwent gastro-jejunostomy. The other two patients subsequently underwent radial incisions of the web with mixed cutting and coagulation current using a standard 5 F sphincterotome.

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Diaphragm / pathology
  • Dose-Response Relationship, Drug
  • Duodenal Obstruction / chemically induced*
  • Duodenal Obstruction / surgery*
  • Duodenoscopy / methods*
  • Follow-Up Studies
  • Humans
  • Long-Term Care
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Rheumatic Diseases / diagnosis
  • Rheumatic Diseases / drug therapy
  • Risk Assessment
  • Sampling Studies
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal