Spondyloarthropathy after ampullary carcinoma resection

"Post-whipple" disease

Samir D. Bhangle, Neil Kramer, Elliot Rosenstein

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)241-243
Number of pages3
JournalJournal of Clinical Rheumatology
Volume15
Issue number5
DOIs
StatePublished - Aug 1 2009
Externally publishedYes

Fingerprint

Whipple Disease
Spondylarthropathies
Ampulla of Vater
Carcinoma
HLA-B27 Antigen
Sulfasalazine
Doxycycline
Biliary Tract
Gastrointestinal Tract
Adrenal Cortex Hormones
Adenocarcinoma
Anti-Inflammatory Agents
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

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Spondyloarthropathy after ampullary carcinoma resection : "Post-whipple" disease. / Bhangle, Samir D.; Kramer, Neil; Rosenstein, Elliot.

In: Journal of Clinical Rheumatology, Vol. 15, No. 5, 01.08.2009, p. 241-243.

Research output: Contribution to journalArticle

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