Korean J Gastrointest Endosc > Volume 33(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(3): 140-144.
허혈성 대장염에서 재원기간과 관련된 인자
도병훈·전성우·김상기·정시욱·하승수·조창민·탁원영·권영오·김성국·최용환
경북대학교 의과대학 내과학교실
An Analysis Based on Hospital Stay in Ischemic Colitis
Byung Hun Do, M.D., Seong Woo Jeon, M.D., Sang Gi Kim, M.D., Si Wook Jung, M.D., Seung Soo Ha, M.D., Chang Min Cho, M.D., Won Young Tak, M.D., Young Oh Kwon, M.D., Sung Kook Kim, M.D. and Yong Hwan Choi, M.D.
Division of Gastroenterology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea
Abstract

Background/Aims:
Ischemic colitis is the most prevalent form of gastrointestinal ischemia, accounting for approximately 50 to 60% of all gastrointestinal ischemic episodes. There are many conditions that predispose an individual to ischemic colitis as well as a wide variety of clinical and endoscopic presentations. This study reviewed the risk factors associated with ischemic colitis, the site of colonic involvement and the effect of antibiotics on the hospital stay.
Methods:
34 inpatients with ischemic colitis during October 2001 and November 2004 were analyzed retrospectively. All patients had intestinal bleeding.
Results:
The mean age of the patients was 56⁑14. Among the 34 cases, 15 cases had the risk factors associated with ischemic colitis. The presenting symptoms were mainly abdominal pain and diarrhea. The endoscopic findings revealed four cases with pancolitis. One case with chronic liver disease died from septic shock. The mean hospital stay was 12⁑5 days, which was reduced by early admission and colonoscopic diagnosis, bowel rest and fluid therapy. However, patient's age, clinical presentations, location of the involved colon, the presence of risk factors and the use of antibiotics did not influence the hospital stay.
Conclusions:
If ischemic colitis with intestinal bleeding is suspected, an early colonoscopic diagnosis and medical treatment such as bowel rest and fluid therapy can reduce the hospital stay. (Korean J Gastrointest Endosc 2006;33:140⁣144)
Key Words: Ischemic colitis, Colonoscopy
주요어: 허혈성 대장염, 대장 내시경검사
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