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Intestinale bivirkninger relateret til COX-2-haemmere
Engelsk titel: Intestinal side effects of COX-2 inhibitors Läs online Författare: Calvo N ; Iversen E ; Munck LK Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 06041971

Tidskrift

Ugeskrift for Laeger 2006;168(13)1343-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

COX-2 inhibitors and NSAIDs have similar analgesic, anti-inflammatory and severe upper intestinal side effects. Adding to the sparse and casuistic reports, a further five cases of severe lower intestinal illness associated with COX-2 inhibitor ingestion are presented. Diarrhoea due to microscopic colitis was associated with short-time ingestion of refecoxib and celecoxib by two patients. Refecoxib intake for two months was associated with spontaneous perforation of a well-functioning J-pouch in a patient with ulcerative colitis. Intake of celecoxib and etodolac was associated with colonic ulceration and stricture. Side effects related to COX-2 inhibitors are similar to those related to NSAIDs.