PURPOSE: This study was performed to clarify the clinical features of ischemic colitis (IC) after colorectal cancer surgery. METHODS: This study retrospectively reviewed the medical records of 35 patients with IC. Patients were divided into two groups: those who had undergone colorectal cancer surgery (POIC group, n = 13) and those who had not undergone colorectal cancer surgery (NOIC group, n = 22). Gangrenous colitis was seen in one patient in the POIC group, and transient colitis was seen in the remaining 34 patients. RESULTS: Among the patients with transient colitis, there were significantly more patients without underlying diseases or promoting factors in the POIC group than in the NOIC group (P = 0.01). Abdominal pain was more frequently reported in the NOIC group than in the POIC group as both the initial symptom (P = 0.02) and throughout the disease course (P = 0.02). Ischemic changes occupying more than half the circumference of the intestinal wall were more frequently found in the NOIC group than in the POIC group (P = 0.03). CONCLUSIONS: Although transient POIC may occur without any underlying disease, severe symptoms rarely occur. However, if POIC occurs in a patient with severe underlying disease, then the occurrence of severe colitis should be considered.
PURPOSE: This study was performed to clarify the clinical features of ischemic colitis (IC) after colorectal cancer surgery. METHODS: This study retrospectively reviewed the medical records of 35 patients with IC. Patients were divided into two groups: those who had undergone colorectal cancer surgery (POIC group, n = 13) and those who had not undergone colorectal cancer surgery (NOIC group, n = 22). Gangrenous colitis was seen in one patient in the POIC group, and transient colitis was seen in the remaining 34 patients. RESULTS: Among the patients with transient colitis, there were significantly more patients without underlying diseases or promoting factors in the POIC group than in the NOIC group (P = 0.01). Abdominal pain was more frequently reported in the NOIC group than in the POIC group as both the initial symptom (P = 0.02) and throughout the disease course (P = 0.02). Ischemic changes occupying more than half the circumference of the intestinal wall were more frequently found in the NOIC group than in the POIC group (P = 0.03). CONCLUSIONS: Although transient POIC may occur without any underlying disease, severe symptoms rarely occur. However, if POIC occurs in a patient with severe underlying disease, then the occurrence of severe colitis should be considered.
Authors: Miguel A Montoro; Lawrence J Brandt; Santos Santolaria; Fernando Gomollon; Belén Sánchez Puértolas; Jesús Vera; Luis Bujanda; Angel Cosme; José Luis Cabriada; Margarita Durán; Laura Mata; Ana Santamaría; Gloria Ceña; Jose Manuel Blas; Julio Ponce; Marta Ponce; Luis Rodrigo; Jacobo Ortiz; Carmen Muñoz; Gloria Arozena; Daniel Ginard; Antonio López-Serrano; Manuel Castro; Miquel Sans; Rafael Campo; Alex Casalots; Víctor Orive; Alberto Loizate; Lluçia Titó; Eva Portabella; Pedro Otazua; M Calvo; Maria Teresa Botella; Concepción Thomson; Jose Luis Mundi; Enrique Quintero; David Nicolás; Fernando Borda; Benito Martinez; Javier P Gisbert; María Chaparro; Alfredo Jimenez Bernadó; Federico Gómez-Camacho; Antonio Cerezo; Enrique Casal Nuñez Journal: Scand J Gastroenterol Date: 2010-10-20 Impact factor: 2.423
Authors: Ahmedin Jemal; Ram C Tiwari; Taylor Murray; Asma Ghafoor; Alicia Samuels; Elizabeth Ward; Eric J Feuer; Michael J Thun Journal: CA Cancer J Clin Date: 2004 Jan-Feb Impact factor: 508.702
Authors: Alexander M Walker; Rhonda L Bohn; Clorinda Cali; Suzanne F Cook; Anuli N Ajene; Bruce E Sands Journal: Am J Gastroenterol Date: 2004-07 Impact factor: 10.864