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World J Gastroenterol. Feb 28, 2007; 13(8): 1236-1239
Published online Feb 28, 2007. doi: 10.3748/wjg.v13.i8.1236
Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer
Satohiro Matsumoto, Kenichiro Tsuji, Satoshi Shirahama
Satohiro Matsumoto, Kenichiro Tsuji, Satoshi Shirahama, Department of Internal Medicine, Kamigoto Hospital, Nagasaki, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Satohiro Matsumoto, MD, Department of Internal Medicine, Kamigoto Hospital, 1549-11 Aokata-gou, Shinkamigoto-cho, Minamimatsuura-gun, Nagasaki 8574404, Japan. hiyo-mana@gol.com
Telephone: +81-959-523000 Fax: +81-959-522981
Received: December 13, 2006
Revised: December 25, 2006
Accepted: January 29, 2007
Published online: February 28, 2007
Abstract

AIM: To investigate the relationship among the presence of ulcer lesions, underlying disease, and clinical course in patients with ischemic colitis.

METHODS: The subjects were 41 patients (10 male and 31 female; mean age 70 years) with ischemic colitis who were admitted to and received treatment in our hospital from 2000 to 2006. We compared their characteristics and analyzed the mean lengths of admission and fasting for 9 patients with ulcer lesions (ulcer group) and 32 without (non-ulcer group).

RESULTS: The groups with presence and absence of ulcer differed significantly only in white blood cell (WBC) count. Lengths of fasting and admission were 7.9 d and 17.9 d for the ulcer group and 4.4 d and 10.7 d for the non-ulcer group, respectively, and significantly longer in the ulcer group (P = 0.0057 and 0.0001). There was no correlation between presence of ulcer and presence of underlying diseases.

CONCLUSION: Lengths of fasting and admission were significantly longer in patients with ischemic colitis with ulcer than for those without ulcer.

Keywords: Ischemic colitis; Ulcer; Fasting; Admission; White blood cell