Three Cases of Panperitonitis due to Intestinal Behçet's Disease with Perforation -As to the Usefulness of Steroid Medication and Ileostomy-

On Suzuki ^{1) 2)}, Yoshiaki Sekishita¹⁾, Tuneo Shiono¹⁾, Masaru Fujimori¹⁾ and Hiroyuki Katoh²⁾

¹⁾Department of Surgery, Obihiro Kousei Hospital
²⁾Department of Surgical Oncology, Hokkaido University Graduate School of Medicine

We report 3 cases of intestinal Behçet's disease with perforation. All underwent emergency surgery with primary anastomosis, but perforation and anastomotic leakage occured postoperatively. To eliminate such leakage, we conducted ileostomy in 2 of the 3 cases. In Berçet's disease with perforation, steroid medication is required to amelirate disease symptoms. In the acute perioperative period, Behçet's disease frequently worsens and the incidence of postoperative complications is high. Coping with them requires the use of steroids to suppress disease activity. Double-barreled ileostomy may prove useful in avoiding primary anstomosis.

Key words
intestinal Behçet's disease with perforation, steroid medication, ileostomy

Reprint requests
On Suzuki Department of Surgery, Obihiro Kousei Hospital W-6 S-8, Obihiro, Hokkaido 080-0016 JAPAN

Accepted
September 25, 2002

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