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Cryptogenic Multifocal Ulcerous Stenosing Enteritis: A Review of the Literature

Publication at Faculty of Medicine in Hradec Králové |
2013

Abstract

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is an extremely rare illness characterised by chronic or relapsing subileus status resulting from multiple small intestinal fibrous strictures and multiple shallow ulcers of the small bowel. The etiology is unknown and pathogenesis is not fully understood.

Therapy with systemic glucocorticosteroids is the treatment of choice. However, most patients develop corticosteroid dependence.

Deep enteroscopy enables precise diagnostic work, possible endoscopic reatment of stenoses; may obviate the need for surgery and prevent excessive small bowel resections.