Diseases of the Colon & Rectum

, Volume 44, Issue 9, pp 1362–1364 | Cite as

Nonsteroidal anti-inflammatory drug-induced strictures of the colon

Report of a case and review of the literature
  • Lincoln H. Israel
  • Jonathan B. Koea
  • Ian D. Stewart
  • Cheryl L. Wright
  • Paul D. Frankish
Case Reports


The phenomenon of strictures of the colon induced by nonsteroidal anti-inflammatory drugs is a newly recognized pathologic entity that has gained little exposure in the surgical literature to date. A further case is reported and the clinical features of this entity are discussed. Most patients present with symptoms suggestive of malignancy, namely anemia, obstructive symptoms, or weight loss. Pathologic changes are characterized by diaphragm-like strictures with submucosal fibrosis. Surgical resection to exclude malignancy and treat symptoms along with cessation of the nonsteroidal anti-inflammatory drug is the treatment of choice.

Key words

Large bowel Nonsteroidal anti-inflammatory drugs Stricture 


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Copyright information

© The American Society of Colon and Rectal Surgeons 2001

Authors and Affiliations

  • Lincoln H. Israel
    • 1
  • Jonathan B. Koea
    • 1
  • Ian D. Stewart
    • 1
  • Cheryl L. Wright
    • 2
  • Paul D. Frankish
    • 3
  1. 1.From the Department of SurgeryNorth Shore HospitalAucklandNew Zealand
  2. 2.the Department of PathologyNorth Shore HospitalAucklandNew Zealand
  3. 3.the Department of GastroenterologyNorth Shore HospitalAucklandNew Zealand

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