Amebic colitis.

概要

論文の詳細を見る
Ten cases with amebic colitis were diagnosed among colonoscopic series for last 20 years.<BR>Characteristic findings of them were hyperemic elevation of the mucosal surface attaching yellowish white necrotic material. No descrete undermining ulcers were seen in any cases. These findings were frequently found in the rectum and cecum. Occasionally another segments were involved accoridng to the severity of disease, but the terminal ileum was spared from its influences even if the ileocecal valve was deformed.<BR>Biopsy from the margine of ulcerative lesion was effective to find Entameba histolytica (Eh) rather than stool examination. Positive ratio of Eh was 38.2 % when the biopsy was taken from the margine of ulcerative change.<BR>Ulcerative colitis and antibiotic-induced peudomembranous colitis should be ruled out. Serum antiamebic titer is quite helpful for diagnosis and decision of its healing.<BR>Administration of Metronidazol was extremely effective for its treatment.
日本大腸肛門病学会の論文