Characteristics of Clinical Features between Isolated Left Side Ischemic Colitis and Non-Isolated Left Side Ischemic Colitis / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 99-106, 2013.
Article
in English
| WPRIM
| ID: wpr-194272
ABSTRACT
OBJECTIVES:
Compared with all other patterns, isolated right colon ischemia has been found to be more associated with coronary artery disease and a poor prognosis. However, there has been no research on comparing isolated left side ischemic colitis (ILIC) and non-ILIC with vascular assessment. The aim of the present study was to evaluate the clinical and laboratory findings between these two different forms of ischemic colitis (IC).METHODS:
We retrospectively investigated differences in clinical features, course, and mesenteric vascular (superior mesenteric artery, SMA; inferior mesenteric artery, IMA) findings between ILIC and non-ILIC patients who were hospitalized at Kosin University Gospel Hospital from 2004 to 2010.RESULTS:
Our study population comprised 221 patients, all of whom met our entry criteria of biopsy-proven or -compatible IC. Of the 221 patients, 46 (20.8%) had non-ILIC. Congestive heart failure and hypercholesterolemia were more frequently observed in the non-ILIC group (P = 0.003 and P = 0.020, respectively). SMA atherosclerosis and SMA stenosis were more frequently observed in the non-ILIC group (P = 0.006 and P = 0.001, respectively). Recovery periods were longer in the non-ILIC group (P = 0.039), and mortality was lower in the ILIC group (6.9% vs. 17.3%, P = 0.026).CONCLUSIONS:
ILIC has favorable outcomes compared with non-ILIC. Furthermore, non-ILIC showed a close relationship with SMA atherosclerosis and SMA stenosis, which should be investigated carefully in the clinical field.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Coronary Artery Disease
/
Retrospective Studies
/
Mortality
/
Mesenteric Artery, Superior
/
Mesenteric Artery, Inferior
/
Colitis, Ischemic
/
Colon
/
Constriction, Pathologic
/
Atherosclerosis
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Kosin Medical Journal
Year:
2013
Type:
Article
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