Universität zu Köln

Terheggen, G., Dieninghoff, D., Rietschel, E., Drebber, U., Kruis, W. and Leifeld, L. (2011). SUCCESSFUL NON-INVASIVE TREATMENT OF STRICTURING FIBROSING COLONOPATHY IN AN ADULT PATIENT. Eur. J. Med. Res., 16 (9). S. 411 - 415. MUNICH: I HOLZAPFEL VERLAG GMBH. ISSN 0949-2321

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Abstract

Objective: Fibrosing colonopathy (FC) is a rare entity associated with cystic fibrosis (CF). Until now, patients with stricturing FC have usually been treated surgically. In this instance, we aimed at avoiding surgery by applying a new conservative approach. Methods: Case report on an adult with CF who developed persistent abdominal pain due to a non-passable stricture in the right transverse colon. Histology confirmed fibrosing colonopathy. Results: Initially we treated the patient with prednisolone pulse therapy and additive antibiotic therapy. For maintenance therapy we administered budesonide. The patient underwent clinical, laboratory and endoscopic follow-up over a three-year period. The stricture healed and was easy to pass. A relapse in the cecum at at the ileocecal valve again improved under steroid and antibiotic therapy. Conclusions: We present a novel therapeutic approach for advanced stricturing PC in an adult patient which successfully avoided surgery (right hemicolectomy) over a three year follow up.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Terheggen, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dieninghoff, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rietschel, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Drebber, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruis, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Leifeld, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-489094
DOI:	10.1186/2047-783X-16-9-411
Journal or Publication Title:	Eur. J. Med. Res.
Volume:	16
Number:	9
Page Range:	S. 411 - 415
Date:	2011
Publisher:	I HOLZAPFEL VERLAG GMBH
Place of Publication:	MUNICH
ISSN:	0949-2321
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PANCREATIC-ENZYME SUPPLEMENTS; CYSTIC-FIBROSIS; WALL THICKNESS; CHILDREN Multiple languages Medicine, Research & Experimental Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48909