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Clinical and Endoscopic Study of Ischemic Colitis
Author(s) -
IGARASHI Masahiro,
KATSUMATA Tomoe,
YAMAMOTO Yoshimasa,
MITOMI Hiroyuki,
KOBAYASHI Kiyonori,
HONMA Jiro,
SAIGENJI Katsunori,
OKABE Haruya,
SEGAWA Kenichi,
ATARI Hideo
Publication year - 1990
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1990.tb00056.x
Subject(s) - medicine , colonoscopy , abdominal pain , morning , surgery , ischemic colitis , gastroenterology , colitis , colorectal cancer , cancer
The clinical signs and symptoms of ischemic colitis have been analyzed. Eighty‐one cases were investigated; there were 62 cases of the transient type, 15 of the stricturing type, and 4 cases of the gangrenous type. All cases were diagnosed by colonoscopy. In addition, the healing process of the transient type, observed by colonoscopy, was analyzed. The results were noted as follows. 1. Sudden onset of abdominal pain was the initial complaint in most of the cases. The onset time of this pain was morning (8.7%), afternoon (23.2%), and night (68.1 %). 2. The average amount of time from the onset of abdominal pain to hemorrhage was 6.6 +/‐ 4.1 hours. Abdominal pain persisted for 1.6 +/‐ 0.7 days and hemorrhage continued for an average of 1.5 +/‐ 0.8 days. 3. The transient type was common in the young age group (under 40), and the stricturing type was common in the advanced age group (over 70). 4. In cases of the transient type, the lesions healed within 7 days in 68% of all cases, and within 14 days in 82% of them. On the other hand, in cases of the stricturing type, during these same time spans, the lesions healed in 33% and 50% of affected patients, respectively. 5. The change in the findings of longitudinal ulcers in cases of the transient type, which were typical findings of ischemic colitis, disappeared within about 6 days in most cases. It is concluded that an emergency colonoscopy is essential in the diagnosis of ischemic colitis of the transient type.