Imperial College London
Professor Timothy Orchard

ProfessorTimothyOrchard

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Professor of Gastroenterology
 
 
 
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Contact

 

t.orchard

 
 
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Location

 

GI UnitNorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Koysombat:2018:10.1136/bcr-2018-225068,
author = {Koysombat, K and Capanna, MV and Stafford, N and Orchard, T},
doi = {10.1136/bcr-2018-225068},
journal = {BMJ Case Rep},
title = {Combination therapy for systemic sclerosis-associated pneumatosis intestinalis.},
url = {http://dx.doi.org/10.1136/bcr-2018-225068},
volume = {2018},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - We present a case of a patient with pneumatosis intestinalis and pneumoperitoneum secondary to gastrointestinal systemic sclerosis, who presented following recurrent accident and emergency attendances with abdominal pain. Pneumatosis intestinalis is a rare complication of systemic sclerosis; management approaches focus largely on exclusion of life-threatening surgical pathologies and subsequent symptom control. To date, there are still no established gold-standard treatment strategy and no large-scale trial data to support a specific management strategy. We describe a case of successful medical management with a combination of antimicrobial, elemental diet and high-flow inhalation oxygen therapy, with supporting evidence of CT image confirming resolution. This case therefore contributes to the literature, being the first to report both symptomatic and radiological improvement following combination therapy without the need for surgical intervention.
AU  - Koysombat,K
AU  - Capanna,MV
AU  - Stafford,N
AU  - Orchard,T
DO  - 10.1136/bcr-2018-225068
PY  - 2018///
TI  - Combination therapy for systemic sclerosis-associated pneumatosis intestinalis.
T2  - BMJ Case Rep
UR  - http://dx.doi.org/10.1136/bcr-2018-225068
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30002210
VL  - 2018
ER  -
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