Spectrum of NSAID-Induced
GI Mucosal Injury
Upper GI
•
GERD
•
Subepithelial petechial
hemorrhages
•
Erosions
•
Ulcers
– Stomach > duodenum
•
Bleeding
– Stomach
»
duodenum
•
Perforations/obstruction
Small Intestine
•
Ulcers
•
Strictures
•
Diaphragms
•
Enteropathy
Colon
•
Colitis
•
Ulcers
•
Strictures
•
Diverticular bleed
or perforation
•
Collagenous
colitis
•
Relapse of IBD