| 허혈성 대장염의 임상양상과 재원기간에 영향을 미치는 인자 |
| 정성훈ㆍ이강문ㆍ지정선ㆍ정우철ㆍ백창렬ㆍ이보인ㆍ이정록ㆍ최황ㆍ김유정*ㆍ양진모ㆍ최규용 |
| 가톨릭대학교 의과대학 내과학교실, *서울대학교 보건통계학교실 |
| Clinical Features and Prognostic Factors in Ischemic Colitis |
| Sung Hoon Jung, M.D., Kang Moon Lee, M.D., Jeong Seon Ji, M.D., Woo Chul Chung, M.D., Chang Nyol Paik, M.D., Bo In Lee, M.D., Jeong Rok Lee, M.D., Hwang Choi, M.D., You Joung Kim, MPH*, Jin Mo Yang, M.D. and Kyu Yong Choi, M.D. |
| Department of Internal Medicine, College of Medicine, The Catholic University of Korea, *Division of Biostatistics, Seoul National University, Seoul, Korea |
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| Abstract |
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Background/Aims:
Ischemic colitis mainly occurs in elderly patients and encompasses a wide clinical spectrum from mild, transient to severe and gangrenous forms. Since life expectancy is now increasing, more often physicians will encounter patients with this disease entity. Our aim was to review the clinical features of ischemic colitis and to analyze the effect of clinical factors on the duration of hospital stay and evaluate predictive factors of poor prognosis.
Methods:
We retrospectively analyzed the medical records of 294 patients diagnosed with ischemic colitis during 10 years from March 1997 to February 2007.
Results:
The mean hospital stay was 12.4±6.6 days. According to the use of multiple regression analysis, age, sex, clinical symptoms, hypertension, constipation, use of laxatives or antibiotics did not affect hospital stay. Factors that significantly increased hospital stay were diabetes mellitus (p= 0.007), colonic involvement of more than three segments (p=0.009) and the presence of an ulcer on a colonoscopic finding (p=0.008).
Conclusions:
Diabetes mellitus, colonic involvement of more than three segments and the presence of an ulcer on a colonoscopic finding are important predictive factors of poor prognosis in patients with ischemic colitis. In cases with one of these factors, more intensive treatment options should be adapted. (Korean J Gastrointest Endosc 2008;36:349-353) |
| Key Words:
Colitis, Ischemic, Hospital stay, Prognostic factor |
| 주요어:
허혈성 대장염, 재원기간, 예후인자 |
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