Characteristics of Clinical Features between Isolated Left Side Ischemic Colitis and Non-Isolated Left Side Ischemic Colitis.
- Author:
Jae Joon HEO
1
;
Hyung Hun KIM
;
Jun Young SONG
;
Seun Ja PARK
;
Moo In PARK
;
Won MOON
Author Information
- Publication Type:Original Article
- Keywords: Atherosclerosis; Ischemic colitis; Stenosis; Superior mesenteric artery
- MeSH: Atherosclerosis; Colitis, Ischemic*; Colon; Constriction, Pathologic; Coronary Artery Disease; Heart Failure; Humans; Hypercholesterolemia; Ischemia; Mesenteric Arteries; Mesenteric Artery, Inferior; Mesenteric Artery, Superior; Mortality; Prognosis; Retrospective Studies
- From:Kosin Medical Journal 2013;28(2):99-106
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: Compared with all other patterns, isolated right colon ischemia has been found to be more associated with coronary artery disease and a poor prognosis. However, there has been no research on comparing isolated left side ischemic colitis (ILIC) and non-ILIC with vascular assessment. The aim of the present study was to evaluate the clinical and laboratory findings between these two different forms of ischemic colitis (IC). METHODS: We retrospectively investigated differences in clinical features, course, and mesenteric vascular (superior mesenteric artery, SMA; inferior mesenteric artery, IMA) findings between ILIC and non-ILIC patients who were hospitalized at Kosin University Gospel Hospital from 2004 to 2010. RESULTS: Our study population comprised 221 patients, all of whom met our entry criteria of biopsy-proven or -compatible IC. Of the 221 patients, 46 (20.8%) had non-ILIC. Congestive heart failure and hypercholesterolemia were more frequently observed in the non-ILIC group (P = 0.003 and P = 0.020, respectively). SMA atherosclerosis and SMA stenosis were more frequently observed in the non-ILIC group (P = 0.006 and P = 0.001, respectively). Recovery periods were longer in the non-ILIC group (P = 0.039), and mortality was lower in the ILIC group (6.9% vs. 17.3%, P = 0.026). CONCLUSIONS: ILIC has favorable outcomes compared with non-ILIC. Furthermore, non-ILIC showed a close relationship with SMA atherosclerosis and SMA stenosis, which should be investigated carefully in the clinical field.
