Is End Stage Renal Disease a Poor Prognosis Factor of Ischemic Colitis? / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 235-238, 2009.
Article
Dans Coréen
| WPRIM
| ID: wpr-217724
ABSTRACT
BACKGROUND/AIMS:
In general, ischemic colitis has a very good prognosis. However, there are a lot of controversies in relation to the prognostic factors. The aim of this study was to evaluate risk factors of severe ischemic colitis.METHODS:
A retrospective study was undertaken of patients with ischemic colitis hospitalized at the Hanyang University Hospital during the interval 2004-2006. Patients were divided into two groups those with mild course and those with severe course which led to operation, systemic inflammatory response syndrome, or death.RESULTS:
A total of 41 cases (M/F=13/28, mean age=63.8 years) of biopsy proven ischemic colitis were included, of which 31 (75.6%) had a mild course and 10 (24.4%) a severe course. Coexisting medical diseases of patients were hypertension (n=24), diabetes (n=14), end-stage renal disease (n=11), cardiovascular disease (n=5), and malignancy (n=5). Male (p=0.049), alcoholics (p=0.025), end-stage renal disease (p=0.013), LDH (p=0.002), CRP (p=0.014), and peritoneal irritation sign (p=0.001) were the significant risk factors of severe ischemic colitis in univariate analysis. In multivariate logistic regression analysis, end-stage renal disease (p=0.026) was the only significant risk factor of severe ischemic colitis.CONCLUSIONS:
Careful attention must be paid to end-stage renal disease patients having ischemic colitis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pronostic
/
Indice de gravité de la maladie
/
Modèles logistiques
/
Analyse multifactorielle
/
Valeur prédictive des tests
/
Études rétrospectives
/
Facteurs de risque
/
Colite ischémique
/
Défaillance rénale chronique
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Gastroenterology
Année:
2009
Type:
Article
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