Korean J Gastrointest Endosc.  2001 Sep;23(3):184-187.

A Case of Behcet's Disease with Gastric Involvement

Affiliations
  • 1Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea.

Abstract

Behcet's disease is characterized by mucocutaneous-ocular symptoms, namely recurrent stomatitis aphthosis, genital ulcer and ocular symptoms. Gastrointestinal tract involvement is common in Behcet's disease. In Korea, incidence of gastrointestinal tract involvement is 4.0~7.3% and the most common manifestation is ulceration of the bowel, localized to the terminal ileum, ileocecal vlave, and cecum, but gastric involvement is very rare. We experienced a case of Behcet's disease with gastric ulcer perforation and recurrent gastric ulcer after primary suture, selective vagotomy and pyloroplasty. We failed to improve the recurrent active gastric ulcers with Helicobacter pylori eradication and antiulcer medication. So we tried steroid and azathioprine therapy for 3 months and active ulcers were healed to multiple scarring ulcers. We would like to suggest this case as a Behcet's disease with gastric involvement.

Keyword

Behcet's disease; Gastric ulcer

MeSH Terms

Azathioprine
Cecum
Cicatrix
Gastrointestinal Tract
Helicobacter pylori
Ileum
Incidence
Korea
Stomach Ulcer
Stomatitis
Sutures
Ulcer
Vagotomy
Azathioprine
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