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Studies on the Clinical Course of Ischemic Colitis: Mainly on Changes of Radiographic and Endoscopic Findings M. Iida 1 , M. Murakami 1 , A. Iwashita 2 1The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University 2The Second Department of Pathology, Faculty of Medicine, Kyushu University pp.311-323
Published Date 1983/3/25
DOI https://doi.org/10.11477/mf.1403109336
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 Twenty cases with ischemic colitis of which ten cases were of stricturing form and ten of transient form were studied clinically, radiographically and endoscopically to see their changes with the passage of time. The results were as follows:

 1) Subjective symptoms such as abdominal pain and bloody diarrhea in cases of stricturing form (2 to 66 days after the onset) disappeared significantly later than in cases of transient form (2 to 17 days) (p=0.05). On the other hand, leucocytosis and elevation of ESR in the former cases (17 to 60 days after the onset) normalized significantly later than in the latter cases (3 to 22 days) (p=0.01).

 2) The ESR on the first visit in cases of stricturing form (55.4±13.0mm in 1 hour) was significantly more elevated than in cases of transient form (10.5±2.8mm) (p=0.01).

 3) In seven cases of stricturing form, radiographic findings changed as follows: thumb-printing (within 8 days after the onset) → severe narrowing, sacculation, eccentric deformity and longitudinal ulcer (open or scar) (15 to 42 days) → decrease of narrowing, sacculation, eccentric deformity and longitudinal ulcerscar (56 to 61 days) → no change (76 to 143 days).

 4) ln three cases of stricturing form, the course was extremely delayed. Barium enema study revealed thumb-printing 21 to 29 days after the onset, and transverse ridging 29 to 65 days.

 5) In ten cases of transient form, radiographic findings changed as follows: thumb-printing (within 4 days after the onset) → longitudinal ulcer (open or scar) (9 to 11 days) → longitudinal ulcer-scar or normal (14 to 37 days).

 6) Endoscopically, the lesions healed 42 to 136 days after the onset in cases of stricturing form, while 10 to 55 days in cases of transient form.


Copyright © 1983, 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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