Radiological Follow-up Study of Ulcerative Colitis Masaaki Matsukawa 1 1Department of Gastroenterology, School of Medicine, Juntendo University Keyword: 潰瘍性大腸炎 , X線所見 pp.487-494
Published Date 1991/5/25
DOI https://doi.org/10.11477/mf.1403102529
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 During the last 17 years (1973-1990), we experienced 24 cases of ulcerative colitis followed-up clinically over the course of 10 years. To establish natural history of ulcerative colitis, these cases were radiologically studied. The results were as follows:

 1. Of 24 cases, 18 cases (75%) were over 30 years of age at the initial inflammatory episode.

 2. During the follow-up period, inflammatory episode occurred only once in 9 cases, in relapsing-remitting type in 13 cases, in chronic continuous type in 2 cases. Initial radiological findings were not useful in differentiating single episode type from relapsingremitting type of ulcerative colitis.

 3. The inflammatory lesion spread with relapses and flare-ups in 17% of the cases followed-up for 10 years. In the cases with colonic lesion lacking rectal lesion, the spread of the lesion occurred during relapses and flare-up (segmental lesion) in 33%.

 Thus, the follow-up studies of ulcerative colitis should involve the entire colon.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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