Is End Stage Renal Disease a Poor Prognosis Factor of Ischemic Colitis? / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 235-238, 2009.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Índice de Gravidade de Doença
/
Modelos Logísticos
/
Análise Multivariada
/
Valor Preditivo dos Testes
/
Estudos Retrospectivos
/
Fatores de Risco
/
Colite Isquêmica
/
Falência Renal Crônica
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2009
Tipo de documento:
Artigo
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