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Radiological Study on Prognosis of Ulcerative Colitis: Colitis vs Proctitis K. Ushio 1 1Department of Diagnostic Radiology, National Cancer Center Hospital pp.723-733
Published Date 1983/7/25
DOI https://doi.org/10.11477/mf.1403109480
  • Abstract
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 During the last 12 years (1970~1982), we experience 22 cases of ulcerative colitis who had barium enema examination more than twice with an interval of more than one year. To understand a natural history of the ulcerative colitis, clinical course of the 22 cases were studied radiologically and the results obtained were as follows.

 1) Of the 22 cases, 15 cases (18%) were less than 40 years old at the onset of the disease.

 2) Teenager patients tended to have the involvement of right side colon or entire colon already at the onset of the disease, and tended to have frequent relapses and flare-ups.

 3) Inflammatory polyps were farmed after a severe attack.

 4) Shortening and narrowing of the colon during an active stage were reversible. On the other hand, they were irreversible if they were noted during remission, and the irreversible changes were found to develop in cases which had more than five year clinical course.

 5) In the colon, its shortening and narrowing got worse whenever relapse and flare-ups occured.

 6) So-called ulcerative proctitis of which inflammation is limited in the rectum was seen in two out of 22 cases and its incidence was low.

 7) In cases which severe attacks or repeated relapses and flare-ups, neighther shortening nor narrowing occured in the rectum. Among 22 cases, furthermore, only one case was found to have inflammatory polyps in the rectum.

 The above findings indicate that ulcerative colitis may not necessarily start from the rectum and progress up to the oral site by repeating relapses and flare-ups. The factors which regulate their extent and prognosis were patients age at the onset of the disease, type of the lesion, extent and severity of the lesion. It is also assumed that younger onset of the disease have especially extensive lesion and tends to have relapses and flare-ups. In majority of the cases, the extension of the lesion during relapses and flare-ups did not indicate new up wards extension but worsened and relapsed lesions in the range at the onset of the disease. Furthermore, severity of the lesion was different between the colon and the rectum.

 In general, the shortening and narrowing of the intestine as well as inflammatory polyps tend to occur in the colon, but they are extremely rare in the rectum.


Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

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