Skip to main content

Advertisement

Log in

Intestinal involvement in Behçet's disease: Review of 136 surgical cases in the Japanese literature

  • Published:
Diseases of the Colon & Rectum

Abstract

A survey was prepared of 136 cases of laparotomy in patients with Behçet's disease and intestinal ulcers in Japan. The incidence of the disease is highest in males in the fourth and fifth decades. The ulcers are frequently found in the terminal ileum and the cecum. The ulcers are liable to perforate into the abdominal cavity, so that many patients require emergency operation. Resection of the ileocecal region or right half of the colon is the usual operation in the treatment of this disease. However, it is necessary to search for skip lesions, because multiple ulcers may be present. The incidence of postoperative complications and postoperative recurrence of ulcers is so high that supplementary management is often required.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Behçet H. Uber rezidivierende, aphthose, durch ein Virus verursachte Geschwure am Mund, am Auge und an den Genitalien. Derm Wochenschr 1937;105:1152–7.

    Google Scholar 

  2. Bøe J, Dalgaard JB, Scott D. Mucocutaneous-ocular syndrome with intestinal involvement: a clinical and pathological study of four fatal cases. Am J Med 1958;25:857–67.

    Article  PubMed  Google Scholar 

  3. Oshima Y, Shimizu T, Yokohari R, et al. Clinical studies on Behçet's syndrome. Ann Rheum Dis 1963;22:36–45.

    PubMed  CAS  Google Scholar 

  4. Baba S, Maruta M, Ando K, Tatsuo T, Endo I. Intestinal Behçet's disease: report of five cases. Dis Colon Rectum 1976;19:428–40.

    Article  PubMed  CAS  Google Scholar 

  5. Mason RM, Barnes CG. Behçet's syndrome with arthritis. Ann Rheum Dis 1969;28:95–103.

    Article  PubMed  CAS  Google Scholar 

  6. Smith GE, Kime LR, Pitcher JL. The colitis of Behçet's disease: a separate entity? Colonoscopic findings and literature review. Am J Dig Dis 1973;18:987–1000.

    Article  PubMed  CAS  Google Scholar 

  7. Goldstein SJ, Crooks DJ. Colitis in Behçet's syndrome two new cases. Radiology 1978;128:321–3.

    PubMed  CAS  Google Scholar 

  8. Tsukada S, Yamazaki T, Iyo S, Nishio I Hashimoto K, Matsubara F. Neuro-Behçet's syndrome: report of two cases and review of the literature, (Jap). Saishin-Igaku 1964;19:1533–41.

    Google Scholar 

  9. Shimizu T. Behçet's disease (Jap). Clin All-round 1977; 26:747–58.

    Google Scholar 

  10. Parkin JV, Wight DG. Behçet's disease and the alimentary tract. Postgrad Med J 1975;51:260–4.

    Article  PubMed  CAS  Google Scholar 

  11. Lockhart JM, McIntyre W, Caperton EM Jr Esophageal ulceration in Behçet's syndrome (letter). Ann Intern Med 1976;84:572–3.

    PubMed  CAS  Google Scholar 

  12. Kodama H. Intestinal Behçet's (Jap). Surg Ther, 1977;37:51–8.

    Google Scholar 

  13. Thach BT, Cummings NA. Behçet's syndrome with “aphthous colitis.” Arch Intern Med 1976;136:706–9.

    Article  Google Scholar 

  14. Bockus HL, ed. Regional enteritis (Crohn's disease). Part II. Clinical features. In: Gastroenterology. 3rd ed. Philadelphia, WB Saunders, 1976;2:561.

    Google Scholar 

  15. Baba S. Differential diagnosis of Crohn's disease and intestional Behçet's (Jap). Jpn J Clin Med 1977;35:1906–12.

    CAS  Google Scholar 

  16. Baba S, Kamitani T. Behçet's disease (Jap). J Clin Surg 1979:34:863–7.

    Google Scholar 

  17. O'Duffy JD, Carney JA, Deodhar S. Behçet's disease: report of 10 cases, 3 with new manifestations. Ann Intern Med 1971;75:561–70.

    PubMed  Google Scholar 

  18. Sarashina H, Higuchi M, Yamazaki T, et al. Three cases of Behçet's syndrome involving the terminal region of the ileum (Jap). Jpn J Clin, Radiol 1975;20:255–61.

    CAS  Google Scholar 

  19. Sawyer A, Walker TM, Terry S. Behçet's syndrome with ileal involvement—the beneficial effect of sulphasalazine. West Indian Med J 1978;28:218–21.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Kasahara, Y., Tanaka, S., Nishino, M. et al. Intestinal involvement in Behçet's disease: Review of 136 surgical cases in the Japanese literature. Dis Colon Rectum 24, 103–106 (1981). https://doi.org/10.1007/BF02604297

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02604297

Key words

Navigation