본문 바로가기
KERD
논문KCI 등재

Time is Gut. Approaching Intestinal Leiomyositis: Case Presentation and Literature Review

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류소아과학

초록

T-lymphocytic intestinal leiomyositis is a rare cause of “pediatric intestinal pseudoobstructions.” Diagnosis may be difficult and requires full-thickness bowel biopsies during laparotomy or laparoscopy with possible enterostomy. Currently, immunosuppressive therapy is the only available treatment. A delay in diagnosis and therapy may negatively affect the prognosis because of ongoing fibrotic alterations; therefore, early diagnosis and consequent treatment are crucial. This review summarizes the available information on the nosology, diagnostic steps, and treatment modalities. Here, we report the youngest case of enteric leiomyositis reported in the last two decades and analyze its management by reviewing previous cases.

Abstract

T-lymphocytic intestinal leiomyositis is a rare cause of “pediatric intestinal pseudoobstructions.” Diagnosis may be difficult and requires full-thickness bowel biopsies during laparotomy or laparoscopy with possible enterostomy. Currently, immunosuppressive therapy is the only available treatment. A delay in diagnosis and therapy may negatively affect the prognosis because of ongoing fibrotic alterations; therefore, early diagnosis and consequent treatment are crucial. This review summarizes the available information on the nosology, diagnostic steps, and treatment modalities. Here, we report the youngest case of enteric leiomyositis reported in the last two decades and analyze its management by reviewing previous cases.

참고문헌 (32)

  1. Byrne WJ, "Chronic idiopathic intestinal pseudo-obstruction syndrome in children--clinical characteristics and prognosis", J Pediatr, 90, pp.585~589 (1977)
  2. Nezelof C, "Idiopathic myositis of the small intestine. An unusual cause of chronic intestinal pseudo-obstruction in children", Arch Fr Pediatr, 42, pp.823~828 (1985)
  3. Haas S, "Autoimmune enteric leiomyositis : a rare cause of chronic intestinal pseudo-obstruction with specific morphological features", Hum Pathol, 36, pp.576~580 (2005)
  4. Arista-Nasr J, "Diffuse lymphoplasmacytic infiltration of the small intestine with damage to nerve plexus. A cause of intestinal pseudo-obstruction", Arch Pathol Lab Med, 117, pp.812~819 (1993)
  5. Rudolph CD, "Diagnosis and treatment of chronic intestinal pseudo-obstruction in children : report of consensus workshop", J Pediatr Gastroenterol Nutr, 24, pp.102~112 (1997)
  6. Dudley HA, "Intestinal pseudo-obstruction", J R Coll Surg Edinb, 3, pp.206~217 (1958)
  7. Thapar N, "Paediatric intestinal pseudo-obstruction : evidence and consensus-based recommendations from an ESPGHAN-led expert group", J Pediatr Gastroenterol Nutr, 66, pp.991~1019 (2018)
  8. Ruuska TH, "Acquired myopathic intestinal pseudo-obstruction may be due to autoimmune enteric leiomyositis", Gastroenterology, 122, pp.1133~1139 (2002)
  9. Giniès JL, "A curable cause of chronic idiopathic intestinal pseudo-obstruction in children : idiopathic myositis of the small intestine", J Pediatr Gastroenterol Nutr, 23, pp.426~429 (1996)
  10. Uchida K, "Chronic intestinal pseudo-obstruction due to lymphocytic intestinal leiomyositis : case report and literature review", Intractable Rare Dis Res, 1, pp.35~39 (2012)
  11. Oton E, "Chronic intestinal pseudo-obstruction due to lymphocytic leiomyositis : is there a place for immunomodulatory therapy?", Gut, 54, pp.1343~1344 (2005)
  12. Knowles CH, "The London Classification of gastrointestinal neuromuscular pathology : report on behalf of the Gastro 2009 International Working Group", Gut, 59, pp.882~887 (2010)
  13. Smith VV, "Histological phenotypes of enteric smooth muscle disease causing functional intestinal obstruction in childhood", Histopathology, 31, pp.112~122 (1997)
  14. De Giorgio R, "Advances in our understanding of the pathology of chronic intestinal pseudo-obstruction", Gut, 53, pp.1549~1552 (2004)
  15. Mann SD, "Clinical characteristics of chronic idiopathic intestinal pseudo-obstruction in adults", Gut, 41, pp.675~681 (1997)
  16. Rigby SP, "Dilated stomach and weak muscles", Lancet, 356, pp.1898~ (2000)
  17. McDonald GB, "Intestinal pseudoobstruction caused by diffuse lymphoid infiltration of the small intestine", Gastroenterology, 89, pp.882~889 (1985)
  18. Martire D, "Phenotypic switch of smooth muscle cells in paediatric chronic intestinal pseudo-obstruction syndrome", J Cell Mol Med, 25, pp.4028~4039 (2021)
  19. Muto M, "Pediatric chronic intestinal pseudo-obstruction is a rare, serious, and intractable disease : a report of a nationwide survey in Japan", J Pediatr Surg, 49, pp.1799~1803 (2014)
  20. Goulet O, "Surgery for pediatric patients with chronic intestinal pseudo-obstruction syndrome", J Pediatr Gastroenterol Nutr, 41(Suppl 1), pp.S66~8 (2005)
  21. Di Lorenzo C, "Pseudo-obstruction : current approaches", Gastroenterology, 116, pp.980~987 (1999)
  22. Valli PV, "Diagnostic use of endoscopic full-thickness wall resection(eFTR)-a novel minimally invasive technique for colonic tissue sampling in patients with severe gastrointestinal motility disorders", Neurogastroenterol Motil, 30, pp.e13153~ (2018)
  23. Smith VV, "Acquired intestinal aganglionosis and circulating autoantibodies without neoplasia or other neural involvement", Gastroenterology, 112, pp.1366~1371 (1997)
  24. Pakarinen MP, "Surgical treatment and outcomes of severe pediatric intestinal motility disorders requiring parenteral nutrition", J Pediatr Surg, 48, pp.333~338 (2013)
  25. Di Lorenzo C, "Effect of sequential erythromycin and octreotide on antroduodenal manometry", J Pediatr Gastroenterol Nutr, 29, pp.293~296 (1999)
  26. Hashizume N, "Pharmacotherapy for pediatric chronic intestinal pseudo-obstruction : nationwide survey in Japan", Pediatr Int, 59, pp.467~472 (2017)
  27. Pironi L, "Outcome on home parenteral nutrition for benign intestinal failure : a review of the literature and benchmarking with the European prospective survey of ESPEN", Clin Nutr, 31, pp.831~845 (2012)
  28. Ko D, "Clinical outcomes of pediatric chronic intestinal pseudo-obstruction", J Clin Med, 10, pp.2376~ (2021)
  29. Koletzko B, "European Society for Clinical Nutrition and Metabolism; European Society of Paediatric Gastroenterology, Hepatology and Nutrition(ESPGHAN); European Society of Paediatric Research(ESPR). Guidelines on paediatric parenteral nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition(ESPGHAN)and the European Society for Clinical Nutrition and Metabolism(ESPEN), supported by the European Society of Paediatric Research(ESPR)", J Pediatr Gastroenterol Nutr, 41(Suppl 2), pp.S1~87 (2005)
  30. Bogdanos DP, "Molecular mimicry and autoimmune liver disease : virtuous intentions, malign consequences", Liver, 21, pp.225~232 (2001)
  31. Kagnoff MF, "Evidence for the role of a human intestinal adenovirus in the pathogenesis of coeliac disease", Gut, 28, pp.995~1001 (1987)
  32. Stanghellini V, "Natural history of intestinal failure induced by chronic idiopathic intestinal pseudo-obstruction", Transplant Proc, 42, pp.15~18 (2010)

관련 논문AI추천

Two Cases of Infantile Intra-abdominal Inflammatory Myofibroblastic Tumor김수홍, 김해영, 조용훈대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2014 · 제17권 제2호Unusual Histology of Eosinophilic Myenteric Ganglionitis: A Case Report강동욱, 김희진, 이혜경, 장제호, 조병선대한병리학회 · Journal of Pathology and Translational Medicine2017 · 제51권 제3호Eosinophilic Gastrointestinal Disorder Presenting as Intractable Vomiting and Ascites in a Young Girl권지윤, 이지현, 제보경, 허지선, 홍광대대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2017 · 제20권 제3호Histopathological Evaluation of Pediatric Intestinal Pseudo-Obstruction: Quantitative Morphometric Analysis of Pathological Changes in the Enteric Nervous System강한나, 구혜수, 김형경, 배지윤, 성순희, 송동은, 정하린, 조민선, 한운섭대한병리학회 · Journal of Pathology and Translational Medicine2010 · 제44권 제2호Abdominal Fibromatosis in a Young Child: A Case Study and Review of the Literature정명자, 정연준, 추현희, 황평한대한병리학회 · Journal of Pathology and Translational Medicine2013 · 제47권 제5호Small Bowel Obstruction Caused by an Aberrant Congenital Band in a Child김두권, 김성우, 김애숙, 이동석, 최성민, 하동엽, Ji Hae Kang, Min Ha Kwak대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2012 · 제15권 제3호

이 간행물의 다른 논문 (6건)