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Endoscopic Balloon Dilatation of NSAID-Induced Sigmoid Diaphragm-Stricture

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Author(s): Georgia Lazaraki | G. Chatzimavroudis | I. Pilpilidis | D. Paikos | K. Soufleris | I. Triantafillidis | Anthi Gatopoulou | P. Katsinelos

Journal: Annals of Gastroenterology
ISSN 1108-7471

Volume: 20;
Issue: 2;
Date: 2007;
Original page

ABSTRACT
A less common but increasingly recognized complication of NSAIDs use is thin mucosal “diaphragm-like” strictures that were initially reported in the small intestine and have been reported with increased incidence in the colon. A patient with osteoarthritis, chronic low back pain, and overuse of different types of NSAIDs suppositories developed “diaphragm” like stricture in the sigmoid colon. She underwent successful through the scope balloon dilatation of the stricture. We report this case to demonstrate an endoscopic alternative therapeutic approach to “diaphragm-like” strictures and as a reminder that this diagnosis should be suspected in patients on long-term NSAIDs therapy. Key words: Non-steroidal anti-inflammatory drugs (NSAIDs), “diaphragm”-like colonic stricture, balloon dilatation.

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