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Two cases of esophageal ulcer after surgical treatment for ulcerative colitis

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Abstract

The incidence of postoperative esophageal ulcers has been rarely reported associated with severe ulcerative colitis (UC). We report two cases of esophageal ulcers accompanied by acute necrotizing esophagitis after undergoing surgery for severe UC. Both patients, 47- and 53-year-old, were diagnosed with severe UC and underwent subtotal colectomy with sigmoid mucous fistula and ileostomy. In both cases, they had epigastralgia or digestive track bleeding and upper gastrointestinal endoscopy revealed an esophageal ulcer with acute necrotizing esophagitis accompanied by a black degeneration of mucosa after surgery. Conservative treatments improved the lesions. Esophageal stricture requiring endoscopic dilatation occurred in both cases. An acute UC requiring surgery seems to warrant caution in the merger of esophageal ulcer and acute necrotizing esophagitis.

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Abbreviations

UC:

Ulcerative colitis

5-ASA:

5-Aminosalicylic acid

PSL:

Prednisolone

CAP:

Cytoapheresis

STC:

Subtotal colectomy with a sigmoid mucous fistula and ileostomy

EBD:

Endoscopic balloon dilatation

DIC:

Disseminated intravascular coagulation

References

  1. Hisabe T, Matsui T, Miyaoka M, et al. Diagnosis and clinical course of ulcerative gastroduodenal lesion associated with ulcerative colitis:possible relationship with pouchitis. Dig Endosc. 2010;22:268–74.

    Article  Google Scholar 

  2. Rosendorff C, Grieve NW. Ulcerative oesophagitis in association with ulcerative colitis. Gut. 1967;8(8):344–7.

    Article  CAS  Google Scholar 

  3. Zimmerman HM, Rosenbium G, Bank S. Apthous ulcers of the esophagus in a patient with ulcerative colitis. Gastrointest Endosc. 1984;30:298–9.

    Article  CAS  Google Scholar 

  4. Ruuska T, Vaajalahti P, Arajarvi P, et al. Prospective evaluation of upper gastrointestinal mucosal lesions in children with ulcerative colitis and Crohn’s disease. J Pediatr Gastroenterol Nutr. 1994;19:181–6.

    Article  CAS  Google Scholar 

  5. Asakawa A, Kojima Y, Fujii E, et al. Case of ulcerative colitis associated with oesophageal ulcer. J Int Med Res. 2000;28:191–6.

    Article  CAS  Google Scholar 

  6. Augsto F, Fernandes V, Cremers MI, et al. Acute necrotizing esophagitis: a large retrospective case series. Endoscopy. 2004;36:411–5.

    Article  Google Scholar 

  7. Gurvits GE, Shapsis A, Lau N, et al. Acute esophageal necrosis:a rare syndrome. J Gastroenterol. 2007;42:29–38.

    Article  Google Scholar 

  8. Goldenberg SP, Wain SL, Marignani P. Acute necrotizing esophagitis. Gastroenterology. 1990;98:493–6.

    Article  CAS  Google Scholar 

  9. Moreto M, Ojembarrena E, Zaballa M, et al. Idiopathic acute esophageal necrosis: not necessarily a terminal event. Endoscopy. 1993;25:534–8.

    Article  CAS  Google Scholar 

  10. Lacy BE, Toor A, Bensen SP, et al. Acute esophagealnecrosis : report of two cases and review of the literature. Gatrotintest Endosc. 1999;49:527–32.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors thank Enago (www.enago.jp) for the English language review. The authors also thank Angela Morben, DVM, ELS, from Edanz Group (https://en-author-services.edanzgroup.com/), for editing a draft of this manuscript.

Funding

No specific funding was disclosed.

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Authors and Affiliations

  1. Department of Surgery for Inflammatory Bowel Disease, Yokohama Municipal Citizen’s Hospital, 56, Okazawacho Hodogaya-ku, Yokohama City, 240-8555, Japan

    Hirosuke Kuroki, Akira Sugita, Kazutaka Koganei, Kenji Tatsumi, Ryo Futatsuki & Katsuhiko Arai

Authors
  1. Hirosuke Kuroki
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  2. Akira Sugita
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  3. Kazutaka Koganei
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  4. Kenji Tatsumi
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  5. Ryo Futatsuki
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  6. Katsuhiko Arai
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Contributions

HK prepared the draft of the report and collected the data. AS, KK, KT, RF, and KA collected the data. AS and KK edited the manuscript and supervised the study. All authors reviewed and revised the report. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Hirosuke Kuroki.

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Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

The study protocol was approved by the Ethical Review Board for Clinical Studies at Yokohama Municipal Citizen’s Hospital (control number 19-02-04).

Informed consent

Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.

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Kuroki, H., Sugita, A., Koganei, K. et al. Two cases of esophageal ulcer after surgical treatment for ulcerative colitis. Clin J Gastroenterol 13, 495–500 (2020). https://doi.org/10.1007/s12328-019-01082-7

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  • DOI: https://doi.org/10.1007/s12328-019-01082-7

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