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Intestinal Perforations in Behçet’s Disease

  • Published:
Journal of Gastrointestinal Surgery

Abstract

Behçet’s disease accompanied by intestinal involvement is called intestinal Behçet’s disease. The intestinal ulcers of Behçet’s disease are usually multiple and scattered and tend to perforate easily, so that many patients require emergency operation. The aim of this study is to determine the extent of surgical resection necessary to prevent reperforation and to point out the findings of concurrent oral and genital ulcers and multiple intestinal perforations in all patients of our series. During a 25-year study period, information of 125 Behçet’s disease cases was gathered. Among the 82 patients who were diagnosed with intestinal Behçet’s disease, 22 cases had intestinal perforations needing emergency laparotomy. We investigated and analyzed these cases according to the patients’ demographic characteristics, clinical presentations, laboratory data, and surgical outcome. There were 14 men and 8 women ranging from 22 to 65 years of age. Nine cases were diagnosed preoperatively, and the diagnoses were confirmed in all 22 cases during the surgical intervention. Surgical resection was performed in every patient, with right hemicolectomy and ileocecal resection in 11 cases, partial ileum resection in 8 cases with two reperforations, and ileocecal resection in 3 cases with one reperforation.

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Acknowledgments

The authors are grateful to Professor Yeu-Tsu Margaret Lee, M.D., Fellow, American College of Surgeons, of the School of Medicine, University of Hawaii, USA, for constructive suggestions and preview of this manuscript.

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Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 362, Chung Cheng Rd., Hsintien, Taipei Hsien, 23137, Taiwan

    Shao-Jiun Chou, Victor Tze-Kai Chen, Hsiang-Chun Jan, Mary Ann Lou & Yi-Ming Liu

  2. Fu Jen Catholic University, Taipei, Taiwan

    Shao-Jiun Chou, Victor Tze-Kai Chen & Mary Ann Lou

  3. Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan

    Shao-Jiun Chou & Victor Tze-Kai Chen

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  1. Shao-Jiun Chou
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  2. Victor Tze-Kai Chen
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  3. Hsiang-Chun Jan
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  4. Mary Ann Lou
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  5. Yi-Ming Liu
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Correspondence to Yi-Ming Liu.

Additional information

Courtesy of Yeu-Tsu Margaret Lee, M.D., Fellow, American College of Surgeons, of the School of Medicine, University of Hawaii.

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Chou, SJ., Chen, V.TK., Jan, HC. et al. Intestinal Perforations in Behçet’s Disease. J Gastrointest Surg 11, 508–514 (2007). https://doi.org/10.1007/s11605-006-0031-9

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  • DOI: https://doi.org/10.1007/s11605-006-0031-9

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