Is End Stage Renal Disease a Poor Prognosis Factor of Ischemic Colitis?.
- Author:
Sung Eun AHN
1
;
Hang Lak LEE
;
Seung Chul CHO
;
Jai Hoon YOON
;
Oh Young LEE
;
Byung Chul YOON
;
Ho Soon CHOI
;
Joon Soo HAHM
;
Min Ho LEE
;
Dong Hoo LEE
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. alwayshang@hanyang.ac.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Ischemic colitis;
End stage renal disease
- MeSH:
Aged;
Colitis, Ischemic/diagnosis/*etiology;
Female;
Humans;
Kidney Failure, Chronic/*complications/diagnosis;
Logistic Models;
Male;
Middle Aged;
Multivariate Analysis;
Predictive Value of Tests;
Prognosis;
Retrospective Studies;
Risk Factors;
Severity of Illness Index
- From:The Korean Journal of Gastroenterology
2009;53(4):235-238
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: In general, ischemic colitis has a very good prognosis. However, there are a lot of controversies in relation to the prognostic factors. The aim of this study was to evaluate risk factors of severe ischemic colitis. METHODS: A retrospective study was undertaken of patients with ischemic colitis hospitalized at the Hanyang University Hospital during the interval 2004-2006. Patients were divided into two groups: those with mild course and those with severe course which led to operation, systemic inflammatory response syndrome, or death. RESULTS: A total of 41 cases (M/F=13/28, mean age=63.8 years) of biopsy proven ischemic colitis were included, of which 31 (75.6%) had a mild course and 10 (24.4%) a severe course. Coexisting medical diseases of patients were hypertension (n=24), diabetes (n=14), end-stage renal disease (n=11), cardiovascular disease (n=5), and malignancy (n=5). Male (p=0.049), alcoholics (p=0.025), end-stage renal disease (p=0.013), LDH (p=0.002), CRP (p=0.014), and peritoneal irritation sign (p=0.001) were the significant risk factors of severe ischemic colitis in univariate analysis. In multivariate logistic regression analysis, end-stage renal disease (p=0.026) was the only significant risk factor of severe ischemic colitis. CONCLUSIONS: Careful attention must be paid to end-stage renal disease patients having ischemic colitis.
