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Ischemic Colitis with Special Reference to Colonoscopic and Histologic Findings T. Muto 1 1The First Department of Surgery, Faculty of Medicine, University of Tokyo pp.267-274
Published Date 1981/3/25
DOI https://doi.org/10.11477/mf.1403107975
  • Abstract
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 Ischemic colitis is a clinical entity diagnosed by typical clinical symptoms such as sudden bloody stool, diarrhea and abdominal pain. The diagnosis can be confirmed by barium enema examination and/or colonoscopy with biopsy. Although colonoscopic appearances of ischemic colitis are characteristic and diagnostic with edematous-reddish mucosa and shallow irregular ulcerations, occasionally longitudinal, those of penicillin induced colitis are similar to ischemic colitis to a some extent. Histologic appearances are not pathognomonic with goblet cell depletion, some vascular congestion and hemorrhage of the lamina propria. As vascular occlusion is not always noticed, a question has been raised whether clinically diagnosed ischemic colitis is really due to ischemic change. Although pathogenesis of ischemic colitis is not completely clear, it should be recognised as a clinical entity and more detailed study on pathogenesis is to be carried out. The value of colonoscopy and biopsy in confirming the diagnosis of ischemic colitis was stressed.


Copyright © 1981, 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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