| Role of Echocardiography for the Evaluation of Ischemic Colitis |
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Kyu Hyung Lee, Byung Ik Jang, Kyeong Ok Kim, Si Hyung Lee, Jae Won Choi, Youn Sun Park, Sang Hoon Lee, Jun Young Lee, Jong Ryul Eun, Tae Nyeun Kim |
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Division of Gastroenterology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea
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| 허혈성 대장염에서 심초음파의 임상적 유용성 |
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이규형, 장병익, 김경옥, 이시형, 최재원, 박윤선, 이상훈, 이준영, 은종렬, 김태년 |
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영남대학교 의과대학 내과학교실 |
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| Abstract |
Background/Aims
Ischemic colitis is recognized as the most common intestinal vascular disorder, especially in the elderly. Several predisposing factors, especially a cardiac embolism, have been reported for ischemic colitis. The aims of this study were to evaluate the prevalence of cardiovascular disease and the role of echocardiography in ischemic colitis. Methods: Thirty-six patients with ischemic colitis from January 2000 to February 2007 were analyzed retrospectively. Results: The mean age of subjects was 68.8±8.4 years. The prevalence of cardiovascular disease in ischemic colitis patients was 33% (12/36 cases). There were eight ischemic heart disease cases, four valvular heart disease cases, three arrhythmia cases and one hypertrophic cardiomyopathy case. Echocardiography was performed in 21 cases; cardiovascular disease could be detected in 11/12 cases (92%) and four cases were previously unknown. Anticoagulant therapy was required in 25% of the patients. Factors influencing hospital stay were the presence of cardiovascular disease. The presence of an associated medical illness did not influence hospital stay. Conclusions: Echocardiography may be useful to evaluate predisposing factors and to determine the use of anticoagulation therapy in ischemic colitis. (Intest Res 2007;5:165-169) |
| Key Words:
Colitis, Ischemic, Cardiovascular Diseases, Echocardiography |
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