壊死型虚血性大腸炎の臨床的検討

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  • THE CLINICAL STUDY OF GANGRENOUS ISCHEMIC COLITIS

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The aim of this paper is to study the clinical characteristics of gangrenous ischemic colitis (GIC). We reported our 6 cases of GIC and, for comparsion, presented our 71 cases of transient ischemic colitis (TIC) during 12 years between 1982 and 1993. 1) In TIC some of patients were young or without associated diseases, but in GIC, almost patients were aged or had some associated diseases. 2) TIC was mainly caused by the intestinal factor such as increased intraluminal pressure, whereas GIC by the vessel factor such as arteriosclerosis, and it was suggested intervention of blood factor such as thrombocyte. 3) Favorite sites of GIC were in left side colon, and so flexible sigmoidoscopy was useful examination for a diagnosis of GIC. 4) As treatment of GIC, it was important to resect the necrotic colon extensively. 5) For postoperative care, attention must be paied for the associated diseases and complication, especially, blood coagulopathy.

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