| Spondyloarthropathy after ampullary carcinoma resection: "post-Whipple" disease. | |
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MedLine Citation:
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PMID: 19590445 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The development of bowel-bypass syndrome complicating the Whipple procedure for biliary tract carcinoma is described here for the first time. A 56-year-old HLA-B27 + man, treated with excision of adenocarcinoma of the ampulla of Vater, developed an undifferentiated spondyloarthropathy, initially unresponsive to nonsteroidal anti-inflammatory drugs and doxycycline, but eventually controlled with sulfasalazine and tapered corticosteroids. This condition represents another example of a rheumatic syndrome occurring after disruption of gastrointestinal tract continuity and likely development of small bowel bacterial overgrowth. |
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Authors:
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Samir D Bhangle; Neil Kramer; Elliot D Rosenstein |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases Volume: 15 ISSN: 1536-7355 ISO Abbreviation: J Clin Rheumatol Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-05 Completed Date: 2009-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9518034 Medline TA: J Clin Rheumatol Country: United States |
Other Details:
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Languages: eng Pagination: 241-3 Citation Subset: IM |
Affiliation:
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Department of Medicine, Saint Barnabas Medical Center, Livingston, New Jersey, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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surgery* Adrenal Cortex Hormones / therapeutic use Bile Duct Neoplasms / surgery* Digestive System Surgical Procedures / adverse effects* Duodenum / surgery* Humans Male Middle Aged Spondylarthropathies / drug therapy, etiology* |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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