Ischemic colitis is the most common form of ischemic injury to the gastrointestinal tract and this frequently occurs in the elderly. It manifests with sudden, left lower abdominal pain, diarrhea and hematochezia. Radiologic modalities such as barium enema may be helpful in delineating the degree and location of ischemic colitis, but colonoscopy is the procedure of choice for making the diagnosis. Ischemic colitis generally runs a benign course lasting a few days and it requires only supportive treatment in most cases. Complications of ischemic colitis and recurrence are rare. We report here on a case of colonic stricture that was caused by ischemic colitis, and we include a brief review of the relevant literature.
Abdominal Pain ; Aged ; Barium ; Colitis ; Colitis, Ischemic ; Colon ; Colonoscopy ; Constriction, Pathologic ; Diarrhea ; Enema ; Gastrointestinal Hemorrhage ; Gastrointestinal Tract ; Humans ; Recurrence

BACKGROUND: We investigated a group of patients with chronic renal failure to evaluate the prevalence and the risk factor related to sleep disturbance. We also studied to explore relationship between sleep disturbance and renal replacement therapy of chronic renal failure such as hemodialysis (HD), peritoneal dialysis (PD) and renal transplantation (RT). METHODS: The patients with 43 HD patients, 52 PD patients, and 32 RT patients completed a self- administered questionnaire package, which included Weekly Sleep Questionnaire (WSQ) and Beck's Depression Inventory (BDI). RESULTS: About 75% of chronic renal failure patients have sleep disturbance. There was difference of morning dissatisfaction feeling item score between HD and RT (p<0.05, HD>RT) groups and of daytime sedation item score among PD, HD and RT (p<0.05, HD>RT, PDRT) groups. The BDI (beta= 0.546) and the serum creatinine (beta=0.221) were significantly positive correlated with WSQ total score, but other factors (modalities of renal replacement therapy, duration of illness, duration of dialysis, Bood urea nitrogen, hematocrit, Body mass index) were not correlated with WSQ total score. CONCLUSION: Sleep disturbance is common in chronic renal failure patients. There was significant difference of daytime sleep disturbance among renal replacement therapy groups. It was caused by difference of emotional state and physical states.
Creatinine ; Depression ; Dialysis ; Hematocrit ; Humans ; Kidney Failure, Chronic ; Kidney Transplantation* ; Nitrogen ; Peritoneal Dialysis* ; Prevalence ; Renal Dialysis* ; Renal Replacement Therapy ; Risk Factors ; Urea ; Surveys and Questionnaires

BACKGROUND AND OBJECTIVES: Turner syndrome (TS) is known to be caused by a total or partial deletion of one X-chromosome. Besides short stature and failure to enter puberty due to ovarian dysgenesis, auricular malformations, middle ear diseases and hearing impairment are also other clinical features of Turner syndrome. The goal of this study is to report otologic and audiologic characteristics in a group of children with Turner syndrome and correlate with these findings to karyotype. SUBJECTS AND METHOD: We retrospectively reviewed the outpatient charts of those who visited at our department for otologic and audiologic screening test between 2008 and 2011. All 23 TS children (46 ears) were enrolled under regular control of their pediatric endocrinologist for treatment with growth hormon and Estrogen. The mean age was 12.6 years (6-24 years). All children were evaluated by otologic history taking, otoscopy, pure tone audiometry and karyotyping. Furthermore, 16 children undertook auditory brain stem response (ABR) test and 10 children temporal bone computed tomography (CT). RESULTS: Abnormal otoscopic findings were found in 48% (22 ears), abnormal otologic history in 70% (16 children), and abnormal audiologic findings in 70% (32 ears). According to karyotyping, the total p-arm deletion group (74%) showed unfavorable audiologic results. ABR test and temporal bone CT did not show any unique findings, except five poor pneumatization of mastoid. CONCLUSION: Hearing impairment can be present at early age in Turner syndrome. Careful follow up during childhood is necessary to detect early ear and hearing problems for active intervention. Karyotype may be used as a predictor for future hearing impairment.
Audiology ; Audiometry ; Child ; Ear ; Ear Diseases ; Ear, Middle ; Estrogens ; Evoked Potentials, Auditory, Brain Stem ; Hearing ; Hearing Loss ; Humans ; Karyotype ; Karyotyping ; Mass Screening ; Otoscopy ; Outpatients ; Puberty ; Retrospective Studies ; Temporal Bone ; Turner Syndrome