Comparative Diagnostics of Ischemic Injuries of the Digestive Tract Hideki Koga 1 , Mitsuo Iida 1 , Takashi Yao 2 1Division of Gastroenterology, Department of Medicine, Kawasaki Medical School 2Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University Keyword: 比較診断学 , 虚血性大腸炎 , 虚血性小腸炎 , 部分的脾動脈塞栓術 , 虚血性胃傷害 pp.1591-1601
Published Date 2000/12/25
DOI https://doi.org/10.11477/mf.1403104927
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 Based on the concept of “comparative diagnostics”, which was proposed by Prof. Hikoo Shirakabe, we attempted to clarify the clinicopathologic features of ischemic injuries of the digestive tract. In ischemic colitis, ischemic jejunoileitis and ischemic gastritis following partial splenic embolization, longitudinal ulcer was the most characteristic feature common to all three. Regarding serial morphological changes in these conditions, the differences among the organs were apparent ; concentric stricture in the small intestine, eccentric deformity and sacculation in the colon, and scarce deformity in the stomach. In the pathologic evaluation, such characteristic findings as mucosal necrosis, mucosal hemorrhage, and inflammatory infiltrate were common to all the organs. We should be able to make a diagnosis of ischemic injuries to the digestive tract when these characteristic clinicopathologic findings are obtained.

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