Retrospective analysis on 56 ischemic colitis
10.3760/cma.j.issn.1673-4904.2014.31.001
- VernacularTitle:56例缺血性结肠炎临床回顾分析
- Author:
Fusheng GAO
;
Xudong WANG
;
Bin LIU
- Publication Type:Journal Article
- Keywords:
Colitis,ischemic;
Colonoscopes;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(31):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features,endoscopic characteristics and methods for diagnosis and treatment of ischemic colitis.Methods The clinical data of 56 patients with ischemic colitis were retrospectively analyzed.Results Ischemic colitis occurred more often in elderly patients.Male and female ratio was 1 ∶1.8.The patients often had concomitant basic diseases,such as diabetes mellitus (53.6％,30/56),hypertension (39.3％,22/56),coronary heart disease (32.1％,18/56).The main manifestations of ischemic colitis were abdominal pain (100.0％,56/56) and bloody stools (89.3％,50/56).The lesions revealed by colonoscopy were mainly located in the left colon and distributed in a segmental pattern,and the pathological changes included mucosal edema,congestion,erosion and ulceration.The prognosis was good in most cases.Conclusions Ischemic colitis should be suspected in elderly patients with acute abdominal pain and bloody stools.Early colonoscopy is helpful for accurate diagnosis and appropriate treatment of ischemic colitis.
