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Endoscopic findings in Yersinia enterocolitica enterocolitis
T Matsumoto1, M Iida, T Matsui
1Second Department of Internal Medicine, Kyushu University, Fukuoka, Japan.
Gastrointestinal Endoscopy
|November 1, 1990
Summary
Yersinia enterocolitica enterocolitis infection commonly affects the terminal ileum, ileocecal valve, and cecum. Endoscopic findings include elevations and ulcers, persisting for weeks, indicating a prolonged disease course.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Endoscopy
Background:
- Yersinia enterocolitica is a bacterial pathogen causing enterocolitis.
- Endoscopic evaluation is crucial for diagnosing and understanding the extent of gastrointestinal infections.
Purpose of the Study:
- To describe the endoscopic findings in the colon and terminal ileum of patients with Yersinia enterocolitica enterocolitis.
- To correlate endoscopic observations with the clinical course of the infection.
Main Methods:
- Case series of eight patients diagnosed with Yersinia enterocolitica infection.
- Diagnosis confirmed by fecal Y. enterocolitica isolation and/or elevated serum antibody titers.
- Total colonoscopy performed 7-38 days post-symptom onset.
Main Results:
- All patients exhibited terminal ileum involvement.
- Ileocecal valve and cecum were frequently affected; ascending colon less so.
- Endoscopic findings included round/oval elevations and ulcers, persisting up to 5 weeks.
Conclusions:
- Yersinia enterocolitica enterocolitis characteristically involves the terminal ileum, ileocecal valve, and cecum.
- Endoscopic findings can persist for several weeks, suggesting a prolonged disease duration.
- Endoscopy provides valuable insights into the mucosal changes associated with Yersinia infection.