Video Tip: Diagnosing an NSAID Induced Ulcer | February 2023-Diagnosing an NSAID Induced Ulcer

Video Transcription

Video Summary

This ASG video tip discusses the case of a 76-year-old woman with rheumatoid arthritis who has been on diclofenac and hydroxychloroquine. A benign ulcer was identified in her ascending colon. The video emphasizes that the endoscopic appearance of the ulcer suggests it is benign, as there are no indications of neoplasia in its edge, lip, or surrounding mucosa. This type of non-specific benign ulceration is commonly seen during colonoscopy, particularly in the ascending colon and around the ileocecal valve. Chronic NSAID or aspirin use, like diclofenac in this case, is often the cause. It is recommended to take biopsy samples for documentation and confirm that the histology is benign, despite the visually specific appearance of the ulcer as non-neoplastic. (Source: ASG video tip with educational grant from Braintree/Cibela Pharmaceuticals)

Keywords

ASG video tip

benign ulcer

rheumatoid arthritis

diclofenac

hydroxychloroquine