2004China Journal of EndoscopyRequires access

Study on clinical and endoscopic features of ischemic colitis

Yang Long

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Abstract

Objective:To evaluate clinical and endoscopic characteristics of ischemic colitis(IC),and to explore the methods for the diagnosis of IC. Methods:To analyse interrelated information of 26 cases of IC diagnosed by colonoscopic and pathology .Results: Of the 26 cases ,21(80.8%) were over 50 years. 22 cases (84.6%) were associated with the basic diseases such as hypertension, cardiac diseases,diabetes mellitus,constipation and hyperlipemia .IC usually presented with sudden onset of abdominal pain ,hematochezia and diarrhea.Ischemic lesion were most often on the left colon. Colonoscopy showed mucosal edema ,congestion ,erosion and ulceration at early stage .It consisted transient or reversible colitis in 20 cases(76.9%). 92.3% of the cases were cured after early diagnosis and correct treatment .Conclusion:Colonoscopy with biopsy is the main method for the diagnosis of IC .It should be performed in 48 h.

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What this paper is about

Objective:To evaluate clinical and endoscopic characteristics of ischemic colitis(IC),and to explore the methods for the diagnosis of IC. Methods:To analyse interrelated information of 26 cases of IC diagnosed by colonoscopic and pathology .Results: Of the 26 cases ,21(80.8%) were over 50 years. 22 cases (84.6%) were associated with the basic diseases such as hypertension, cardiac diseases,diabetes mellitus,constipation and hyperlipemia .IC usually presented with sudden onset of abdominal pain ,hematochezia and diarrhea.Ischemic lesion were most often on the left colon. Colonoscopy showed mucosal edema ,congestion ,erosion and ulceration at early stage .It consisted transient or reversible colitis in 20 cases(76.9%). 92.3% of the cases were cured after early diagnosis and correct treatment .Conclusion:Colonoscopy with biopsy is the main method for the diagnosis of IC .It should be performed in 48 h.

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Available abstract

Objective:To evaluate clinical and endoscopic characteristics of ischemic colitis(IC),and to explore the methods for the diagnosis of IC. Methods:To analyse interrelated information of 26 cases of IC diagnosed by colonoscopic and pathology .Results: Of the 26 cases ,21(80.8%) were over 50 years. 22 cases (84.6%) were associated with the basic diseases such as hypertension, cardiac diseases,diabetes mellitus,constipation and hyperlipemia .IC usually presented with sudden onset of abdominal pain ,hematochezia and diarrhea.Ischemic lesion were most often on the left colon. Colonoscopy showed mucosal edema ,congestion ,erosion and ulceration at early stage .It consisted transient or reversible colitis in 20 cases(76.9%). 92.3% of the cases were cured after early diagnosis and correct treatment .Conclusion:Colonoscopy with biopsy is the main method for the diagnosis of IC .It should be performed in 48 h.

Key concepts: Medicine, Ischemic colitis, Colonoscopy, Hematochezia, Abdominal pain, Constipation, Internal medicine, Gastroenterology

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