Prevention and management of non-steroidal anti-inflammatory drugs-induced small intestinal injury

World J Gastroenterol. 2011 Nov 14;17(42):4647-53. doi: 10.3748/wjg.v17.i42.4647.

Abstract

Non-steroidal anti-inflammatory drug (NSAID)-induced small bowel injury is a topic that deserves attention since the advent of capsule endoscopy and balloon enteroscopy. NSAID enteropathy is common and is mostly asymptomatic. However, massive bleeding, stricture, or perforation may occur. The pathogenesis of small intestine injury by NSAIDs is complex and different from that of the upper gastrointestinal tract. No drug has yet been developed that can completely prevent or treat NSAID enteropathy. Therefore, a long-term randomized study in chronic NSAID users is needed.

Keywords: Non-steroidal anti-inflammatory drugs; Prevention; Small intestinal injury; Treatment.

Publication types

  • Editorial
  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Capsule Endoscopy / instrumentation
  • Capsule Endoscopy / methods
  • Diagnosis, Differential
  • Humans
  • Intestinal Diseases / chemically induced*
  • Intestinal Diseases / pathology*
  • Intestinal Diseases / prevention & control*
  • Intestinal Diseases / therapy
  • Intestine, Small / drug effects*
  • Intestine, Small / pathology*
  • Randomized Controlled Trials as Topic

Substances

  • Anti-Inflammatory Agents, Non-Steroidal