Clinical Characteristics of Ischemic Colitis:An Analysis of 75 Patients

VernacularTitle:缺血性结肠炎75例临床特征分析
Author: Jinshan SUN ; Xuemei SU ; Ting LEI ; Zhanguo NIE
Publication Type:Journal Article
Keywords: Colitis,Ischemic; Disease Attributes; Diagnosis; Therapy
From:Chinese Journal of Gastroenterology 2015;(8):477-480
CountryChina
Language:Chinese
Abstract: Background:The incidence of ischemic colitis(IC)is increasing in recent years with the aging of population,and the rate of delayed diagnosis or misdiagnosis is high because of the lacking of specific clinical characteristics. Aims:To study the clinical characteristics of IC so as to improve its early diagnosis and treatment. Methods:The clinical and endoscopic characteristics of 75 IC patients from Jan. 2009 to Dec. 2014 at Urumqi General Hospital were retrospectively analyzed. Results:IC usually occurred in elderly patients with age ≥60 years,females were more common. Most patients had underlying diseases,including hypertension,coronary heart disease,diabetes,hyperlipidemia and arrhythmia,etc. Colonoscopy and medications could also induce IC. The main clinical presentations were abdominal pain,hematochezia and diarrhea. The lesions were mostly located in left colon and of the transient type. Conclusions:IC should be suspected when elderly patients with underlying diseases,complaining abdominal pain,hematochezia and diarrhea,colonoscopy and pathologic study should be undertaken as early as possible. Prognosis is good when treated timely.