Clinical Features of Ischemic Enteritis Junji Umeno 1 , Motohiro Esaki 1 , Yuji Maehata 1 , Tomohiko Moriyama 1 , Kouichi Asano 1 , Shigeo Nakamura 2 , Yoshiteru Kumagae 3 , Minako Hirahashi 3 , Mitsuo Iida 4 , Takanari Kitazono 1 , Takayuki Matsumoto 1 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 2Department of Gastroenterology, Steel Memorial Yawata Hospital, Kitakyushu, Japan 3Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 4Kyushu Central Hospital, Fukuoka, Japan Keyword: 虚血性小腸炎 , 管状狭窄 , 小腸造影 , 小腸内視鏡 , 内視鏡的バルーン拡張術 pp.1704-1716
Published Date 2013/11/25
DOI https://doi.org/10.11477/mf.1403113987
  • Abstract
  • Look Inside
  • Reference
  • Cited by

 We retrospectively analyzed clinical features of 24 patients with ischemic enteritis. Cases of lesions restricted to the ileum were olderly patients and tended to have severe stenosis when compared to those of more extended lesions. Severe stenosis was more frequently observed in cases of secondary ischemic enteritis caused by major vessel occlusion or blunt abdominal trauma than in those of idiopathic ones. Tubular narrowing was the most frequently observed radiographic finding. A review of serial radiographic examinations revealed that severe stenosis progresses over time in most cases. We were able to confirm enteroscopic findings in nine cases prior to resection, among which segmental circumferential ulceration was the most characteristic finding. Although surgical resection was necessary in 15cases, a case with severe ileal stenosis was successfully treated by endoscopic balloon dilation.

Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.


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