Korean Journal of Gastrointestinal Endoscopy 2001;23(3): 184-187.
위를 침범한 베체트병 1 예 ( A Case of Behcet`s Disease with Gastric Involvement )
박진영(Jin Young Park),김형길(Hyung Gil Kim),정석(Seok Jeong),조진경(Jin Kyoung Cho),이진우(Jin Woo Lee),이돈행(Don Haeng Lee),김범수(Pum Soo Kim),김영수(Young Soo Kim)
Abstract
Behcet's disease is characterized by mucocutaneousocular 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. (Korean J Gastrointest Endosc 2001;23:184-187)