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CLINICAL OBSERVATIONS ON ULCERATIVE COLITIS Hikaru Watanabe 1 1Dept. of Internal Medicine, Tohoku University, School of Medicine. pp.1491-1500
Published Date 1969/12/25
DOI https://doi.org/10.11477/mf.1403110858
  • Abstract
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 On the basis of clinical results in 84 cases of ulcerative colitis encountered in the Yamagata Department of Internal Medicine for the past 16 years, various clinical aspects such as its frequency, physical and laboratory findings, diagnosis and differential diagnosis, complications, treatment and prognosis have been investigated. It is shown here that this has become a disease not so rare as was formerly considered. It is a little more frequent in the female, most often found in young people and adults. Changes in the colon predominantly involve the rectum as well, so that in addition to rectoscopy, biopsy and cytological diagnosis are of major importance for its determination. With mucosanguinolent stool as its chief symptom, typical ulcerative colitis often includes, besides abnormal x-ray findings, fever, loss of weight, a rise in blood sedimentation rate, normochromic anemia, leucocytosis, hypoproteinemia, lowering of A/G ratio, decreased serum gamma globulin and hypokalemia. These findings are not outstanding in rectosigmoiditis. However, no conspicuous difference is to be found between the two as far as findings of rectoscopy, cytological diagnosis and biopsy are concerned. In about one third of cases of this disease, surgical intervention become necessary. Although prognosis as regards recurrences after internal treatment is not always favorable, return to social life is practically possible.


Copyright © 1969, 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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