Endoscopic and radiographic features of gastrointestinal involvement in vasculitis

Vasculitis is an inflammation of vessel walls,followed by alteration of the blood flow and damage to the dependent organ.Vasculitis can cause local or diffuse pathologic changes in the gastrointestinal (GI) tract.The variety of GI lesions includes ulcer,submucosal edema,hemorrhage,paralytic ileus,me...

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Published inWorld journal of gastrointestinal endoscopy Vol. 4; no. 3; pp. 50 - 56
Main Authors Hokama, Akira, Kishimoto, Kazuto, Ihama, Yasushi, Kobashigawa, Chiharu, Nakamoto, Manabu, Hirata, Tetsuo, Kinjo, Nagisa, Higa, Futoshi, Tateyama, Masao, Kinjo, Fukunori, Iseki, Kunitoshi, Kato, Seiya, Fujita, Jiro
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 16.03.2012
Subjects
Beh
Churg-Strauss
Computed
disease
Endoscopy
erythematosus
et’s
Gastrointestinal
Henoch-Sch
Histopathology
Lupus
mesenteric
nlein
purpura
syndrome
Systemic
tomography
tract
vasculitis
Churg-Strauss syndrome
Histopathology
Systemic lupus erythematosus
Vasculitis
Computed tomography
Lupus mesenteric vasculitis
Henoch-Schönlein purpura
Gastrointestinal tract
Endoscopy
Behçet’s disease
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Summary:Vasculitis is an inflammation of vessel walls,followed by alteration of the blood flow and damage to the dependent organ.Vasculitis can cause local or diffuse pathologic changes in the gastrointestinal (GI) tract.The variety of GI lesions includes ulcer,submucosal edema,hemorrhage,paralytic ileus,mesenteric ischemia,bowel obstruction,and life-threatening perforation.The endoscopic and radiographic features of GI involvement in vasculitisare reviewed with the emphasis on small-vessel vasculitis by presenting our typicalcases,including Churg-Strauss syndrome,HenochSch nlein purpura,systemic lupus erythematosus,and Beh et’s disease.Important endoscopic features are ischemic enterocolitis and ulcer.Characteristic computed tomographic findings include bowel wall thickening with the target sign and engorgement of mesenteric vessels with comb sign.Knowledge of endoscopic and radiographic GI manifestations can help make an early diagnosis and establish treatment strategy.
Bibliography:Akira Hokama,Kazuto Kishimoto,Yasushi Ihama,Tetsuo Hirata,Futoshi Higa,Masao Tateyama,Jiro Fujita,Department of Infectious,Respiratory and Digestive Medicine,Faculty of Medicine,University of the Ryukyus,Okinawa 903-0125,Japan Chiharu Kobashigawa,Manabu Nakamoto,Nagisa Kinjo,Fukunori Kinjo,Endoscopy Unit,University Hospital of the Ryukyus,Okinawa 903-0125,Japan Kunitoshi Iseki,Dialysis Unit,University Hospital of the Ryukyus,Okinawa 903-0125,Japan Seiya Kato,Department of Pathology and Cell Biology,Faculty of Medicine,University of the Ryukyus,Okinawa 903-0125,Japan
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Correspondence to: Akira Hokama, MD, PhD, Assistant Professor, Department of Infectious, Respiratory and Digestive Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0125, Japan. hokama-a@med.u-ryukyu.ac.jp
Author contributions: Hokama A wrote the manuscript; Hokama A, Kishimoto K, Ihama Y, Kobashigawa C, Nakamoto M, Hirata T and Kinjo N performed endoscopic examinations and treated the patients; Hokama A and Kato S performed the pathological examinations; Higa F, Tateyama M, Kinjo F, Iseki K and Fujita J supervised treatment of the patients and preparation of the manuscript.
Telephone: +81-98-8951144 Fax: +81-98-8951414
ISSN:1948-5190
1948-5190
DOI:10.4253/wjge.v4.i3.50