Clinical pictures of ischemic colitis

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Recently, we have encountered 9 cases with so-called ischemic colitis. The age of the patients ranged from 54 to 83 years old, predominantly in the older age group. Characteristics of the clinical symptoms include sudden onset with melena, accompanied by either mild or severe abdominal pain and involvement of distal portion of colon excluding rectal portion. Although most of them cured in a relatively short period with the conservative measures, healing delayed in a few cases. The emrgency operation should be performed in cases with extensive necrotic changes of the intestinal wall due to severe ischemia, but the prognosis was inevitably poor. Neither stenosis nor recurrence was observed in cases cured with the conservative measures.
財団法人日本消化器病学会の論文