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[Digestive involvement in progressive systemic sclerosis].

L F Vidal Neira1, J Piscoya Arbañil, T Rolando Castañedá

  • 1Servicio de Reumatologia del Hospital de Apoyo Maria Auxiliadora, Lima, Peru.

Arquivos De Gastroenterologia
|January 1, 1988
PubMed
Summary
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Digestive issues are common in Progressive Systemic Sclerosis (PSS). Esophageal involvement, like reflux esophagitis and stenosis, is most frequent, followed by small intestine complications such as diarrhea and bacterial overgrowth.

Area of Science:

  • Gastroenterology
  • Rheumatology
  • Internal Medicine

Background:

  • Progressive Systemic Sclerosis (PSS) is a multisystem autoimmune disease.
  • Digestive system involvement is a frequent complication of PSS.

Purpose of the Study:

  • To investigate the prevalence and characteristics of digestive involvement in patients with PSS.
  • To correlate clinical symptoms with radiologic and endoscopic findings.

Main Methods:

  • Prospective study of 14 PSS patients (12 female, 2 male; mean age 43.6).
  • Utilized medical history, physical examination, radiologic and endoscopic studies, and microbial flora analysis.
  • Patients met updated ARA criteria.

Main Results:

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  • Esophageal involvement (80%) was most common, presenting as reflux esophagitis and stenosis.
  • Small intestine involvement (40%) manifested as chronic diarrhea and flatulence, correlating with radiologic findings and bacterial overgrowth.
  • Radiologic findings included distal esophageal aperistalsis (78%) and gastroesophageal reflux (57%).
  • Endoscopic findings showed esophagitis in 71% of patients.
  • Bacterial overgrowth (enterobacteria) was found in 35% of patients.

    • Conclusions:

    • Digestive compromise is frequent in PSS, with the esophagus being the most commonly affected organ.
    • Small intestine bacterial overgrowth is a secondary complication of intestinal compromise in PSS.
    • Early diagnosis and management of gastrointestinal symptoms are crucial for PSS patients.