Possible Relationship between Livid Telangiectasis on the Colon Mucosa and Abdominal Kampo Diagnosis

概要

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Backgrounds & Aims : In daily practice, we have sometimes encountered patients with both Oketsu syndrome and livid telangiectasis on the colon mucosa detected by colonoscopy. The object of this study was to examine the relationship between livid telangiectasis on the colon mucosa and abdominal Kampo diagnosis. Methods : We enrolled consecutive 30 patients with various diseases who underwent total colonoscopy in our department. Clinical characteristics including age, sex, colon adenoma, hemorrhoids and livid telangiectasis on the colon mucosa were examined in each patient. After colonoscopy, abdominal Kampo diagnosis was determined in each patient based on medical records. Results : About half of telangiectasis-negative patients did not have the symptom of "resistance or tenderness on pressure of the para-umbilicat region", whereas all telangiectasis-positive patients had this symptom (p=0.017). Colon polyps were observed more frequently in telangiectasis-positive patients than in telangiectasis-negative patients (p=0.029). Conclusions : Livid telangiectasis on the colon mucosa may be related to "resistance or tenderness on pressure of the para-umbilical region" and Oketsu syndrome. Understanding of telangiectasis of the colon mucosa and Oketsu syndrome may contribute to the care of people's health. (173 words) (Kitakanto Med J 2003 ; 53 : 165〜167)
北関東医学会の論文
2003-05-01