Clinical Study on Gangrenous Ischemic Colitis.

• Kase H.

  First Department of Surgery, Toho University School of Medicine

• Shibata Y.

  First Department of Surgery, Toho University School of Medicine

• Saitou N.

  First Department of Surgery, Toho University School of Medicine

• Washizawa N.

  First Department of Surgery, Toho University School of Medicine

• Kasai H.

  First Department of Surgery, Toho University School of Medicine

• Seo A.

  First Department of Surgery, Toho University School of Medicine

• Kikuti M.

  First Department of Surgery, Toho University School of Medicine

• Kobayashi K.

  First Department of Surgery, Toho University School of Medicine

• Teramoto T.

  First Department of Surgery, Toho University School of Medicine

Bibliographic Information

Other Title

• 壊死型虚血性腸炎の臨床的検討　　早期診断，手術適応決定の指標としてのＳＩＲＳの有用性とＰＭＸの効果
• 早期診断,手術適応決定の指標としてのSIRSの有用性とPMXの効果

Abstract

Clinical features, the usefulness of systemic inflammatoryresponse syndrome (SIRS) on diagnosis were studied in 13 cases of gangrenous ischemic colitis that received surgery at Toho University Hospital, compared with 20 cases of transient type.<BR>Further, the effect of PMX therapy was studiedin 5 patients with PMX, compared with 7 patients without PMX. Almost cases of gangrenous type had an underlying disease and older age compared with transient type. It was 77% in gangrenous type that had SIRS on admission, and its average score was 2.15. The SIRS score seems useful for early diagnosis for viability of intestine and the indication for surgery. In the PMX group, the postoperative period of SIRS was shorter, and APACHE II score decreased quickly compared with the non-PMX group.<BR>Postoperative PMX was effective, except in 2 cases that showed high APACHE II scores preoperatively. It is concluded thatearly diagnosis and surgery could be most important for the treatment of gangrenous ischemic colitis.

Journal

• Nippon Daicho Komonbyo Gakkai Zasshi

  Nippon Daicho Komonbyo Gakkai Zasshi 55 (3), 129-135, 2002

  The Japan Society of Coloproctology

Keywords

• 壊死型虚血性腸炎
• SIRS
• APACHE IIスコア
• PMX

Details

• CRID: 1390001204856684928
• NII Article ID: 10008386142
• NII Book ID: AN00195100
• DOI: 10.3862/jcoloproctology.55.129
• ISSN: 18829619
• ISSN: 00471801
• Web Site: http://www.jstage.jst.go.jp/article/jcoloproctology1967/55/3/55_3_129/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002180171
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed