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Japanese

A Study of the Diagnostic Process and the Clinical Entity of Ulcerative Proctitis A. Kariya 1 , S. Mayama 1 , M. Haraikawa 1 , Y. Wakabayashi 1 , H. Tazawa 1 1Division of Diagnostic Radiology, Chiba Cancer Center Hospital pp.717-721
Published Date 1983/7/25
DOI https://doi.org/10.11477/mf.1403109477
  • Abstract
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 The diagnostic process and the clinical entity for ulcerative proctitis is studied, based on 12 cases of ulcerative proctitis and 57 cases of ulcerative colitis.

 The difficult problem in the diagnosis of ulcerative proctitis is due to its mild symptoms and morphologic changes in the majority of the patients. Superficial mucosal ulcerations were identified only in one case with ulcerative proctitis. So the disease may be easily overlooked in some instances. The double contrast barium-enema findings in the five patients with ulcerative proctitis were interpreted as normal. For this reason endoscopic examination is essential for the diagnosis.

 No patient had extension of colitis involving more proximal portions of the colon during its clinical course. But we think that ulcerative proctitis is a variant of ulcerative colitis and that there is no fundamental distinction between them in remittent course, radiographic image, endoscopic picture and pathology. Most of the clinical differences between them can be explained by the area and the degree of the bowel involved.

 But it may be problems that minimal findings of ulcerative proctitis is called as “early change”, or that the disease is recognized as “early ulcerative colitis”. It seems appropriate that ulcerative proctitis is a mild type of ulcerative proctocolitis.


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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