A Clinical Review in 31 Patients with Ulcerative Colitis.
- Author:
Sam Beom LEE
;
Byeong Ik JANG
;
Heon Ju LEE
;
Moon Kwan CHUNG
;
Hyun Woo LEE
- Publication Type:Original Article
- MeSH:
Abdominal Pain;
Age Distribution;
Anemia;
Barium;
Colitis, Ulcerative*;
Colon;
Diagnostic Tests, Routine;
Diarrhea;
Edema;
Endoscopy;
Enema;
Humans;
Hyperemia;
Hypoalbuminemia;
Incidence;
Korea;
Leukocytosis;
Rectum;
Sex Distribution;
Sulfasalazine;
Ulcer*
- From:Korean Journal of Gastrointestinal Endoscopy
1991;11(2):355-361
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ulcerative colitis is diffuse inflammatory condition at mucosal lining of the colon & rectum and rare in Korea but there are no pathognomonic features or specific diagnostic tests. However, recently the diagnostic methods for ulcerative colitis are much developed and the incidence of ulcerative colitis is increased in Korea. Therefor, an analysis of 31 cases of ulcerative colitis which was diagnosed and treated in the department of the YeungNam University Hospital from May l983 to April 1991 was reviewed. The results were as following: 1) The sex distribution assumed a ratio of 1 to 2.1 and the age distribution was vqriable but the most prevalent age group was 5th decade(29.0%). 2) The most common clinical manifestations were abdominal pain & bloody diarrhea. 3) As to the extent of disease determined by the barium enema & endoscopy, rectum or rectosigmoid colon was involved in majority of the cases 22.6%, 41.9 (respectively). 4) Significant laboratory findings were elevated ESR, anemia, leukocytosis, hypoalbuminemia. 5) The endoscopic examination was performed in all 31 cases and showed sinificant findings such as hyperemia, mucosai edema, superficial ulceration & mucosal friability. 6) 23 of 26 cases treated by sulfasalazine medication showed improved, and 3 cases were improved by steriod medication and the surgical operation was indicated in 1 case.
