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Ischemic enterocolitis examined by colonoscopy and selective angiography
1Department of Gastroe-nterology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China.
World Journal of Gastroenterology
|June 22, 2005
Summary
Colonoscopy and selective mesenteric angiography are valuable tools for diagnosing ischemic enterocolitis. These methods help identify lesions and vascular changes characteristic of the condition.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Vascular Medicine
Background:
- Ischemic enterocolitis is a serious condition affecting the intestines.
- Accurate diagnosis is crucial for effective treatment and patient outcomes.
Purpose of the Study:
- To evaluate the diagnostic utility of colonoscopy and selective mesenteric angiography for ischemic enterocolitis.
Main Methods:
- Sixteen patients with suspected ischemic enterocolitis underwent colonoscopy.
- Fourteen of these patients also had selective mesenteric inferior angiography.
- Biopsies were taken during colonoscopy for histological examination.
Main Results:
- Colonoscopy identified mucosal hyperemia, edema, and bleeding, predominantly in the left colon.
- Histological findings included inflammatory cell infiltration and submucous bleeding.
- Angiography revealed mesenteric artery stenosis, occlusion, and collateral circulation in affected patients.
Conclusions:
- Both colonoscopy and selective mesenteric inferior angiography are effective diagnostic methods for ischemic enterocolitis.
- These techniques aid in identifying characteristic lesions and vascular abnormalities.