Clinical Analysis of Ischemic Colitis in 30 Patients

VernacularTitle:缺血性结肠炎30例临床分析
Author: Yanmin CHEN ; Jianyang LI
Publication Type:Journal Article
Keywords: Colitis,ischemic; Colonscopy; Retrospective studies
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(4):443-444
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical feature and diagnostic methods of patients with ischemic colitis(IC) for improving the recognition and the efficacy of therapeutic treatment. Methods Retrospective analysis of the clinical data of 30 cases of IC,including the medical history,clinical symptomatology,endoscopic appearance, histopa-thology,treatment and prognosis. Results IC occurred most of frequently in mid-aged and elders,the male-female ra-tio was 1:2.3,83.3% of the patients were over 60 years old, and most them had underlying disease. The most com-mon presenting features were sudden abdominal pain and bloody stools. Endoscopic lesions located mainly in left co-lon. Mucosal edema,erosin and submucosal bleeding were common pathological feature. Vasodilator drugs and compre-hensive medical therapy had good effects. The average duration for healing or improving was 10 days. Conclusions IC should be suspected in all elder patients with sudden abdominal pain and bloody stools. Colonoscopy is helpful for diagnosis. The prognosis is good in most cases and with rapid recovery.