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Diagnostic Imaging for Infective Colitis Hidehisa Ohi 1 1Department of Gastroenterology, Nanpu Hospital Keyword: 大腸感染症 , 画像検査 , 潰瘍 , 変形 , 四次元的観察 pp.275-285
Published Date 2002/2/26
DOI https://doi.org/10.11477/mf.1403103448
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 The diagnosis of infective colitis requires the isolation of the causative organism. Colonoscopy and Barium enema study are also essential for the differential diagnosis in some cases. Since most of the patients with acute infective colitis have frequent bowel movements, colonoscopy can be carried out without preparation. Observation of the whole colon and rectum as well as the terminal ileum can help in the diagnosis of colitis and in the presumption of what organism causes it. Taking an objective view of the time course of the disease is essential for the diagnosis of chronic infective colitis. Therefore, barium enema study is especially useful. The characteristics of colonoscopic and radiologic findings of the extent of colitis, distribution, and form of the ulcers should be studied by the two dimensional analysis proposed by Dr. Shirakabe, the three dimensional analysis which includes the depth of lesions, and even the four dimensional analysis which includes the time course of the lesions.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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