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Relationship between endoscopic findings and clinical severity in ischemic colitis

机译：缺血性结肠炎的内镜检查结果与临床严重性之间的关系

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Background and Aim: The incidence of ischemic colitis (IC) in Japan has been increasing due to the westernization of diet and the aging population. The aim of this study was to evaluate the relationship between endoscopic findings and clinical severity in IC. Methods: This retrospective analysis included 106 cases diagnosed with IC that were divided into two groups based on endoscopic findings in the acute stage: redness and erosion (RE) versus longitudinal and circumferential ulcers (LCU). The clinical variables were compared between the two groups. In addition, we investigated the risk factors of IC associated with the severity of the endoscopic findings by multivariate logistic regression analysis. Results: The percentage of cases presenting abdominal pain was significantly higher in the LCU group than that in the RE group (p=0.002), as were the baseline serum CRP levels (p=0.0001). The periods of hospitalization in LCU group were longer than in the RE group (p=0.0001). Multivariate logistic regression analysis indicated that ischemic heart disease (IHD) and connective tissue disease were the independent explanatory factor associated with the endoscopic severity of IC (p<0.05). Conclusion: We showed clearly that the two endoscopic classifications were accurate indicators of severity and could be used to anticipate severity of IC. Furthermore, we confirmed that IHD and connective tissue disease were the exacerbating factor associated with the severity of endoscopic findings in IC.
机译：背景与目的：由于饮食的西化和人口老龄化，日本缺血性结肠炎（IC）的发病率一直在增加。这项研究的目的是评估内镜检查结果与IC的临床严重性之间的关系。方法：回顾性分析包括106例诊断为IC的病例，根据急性阶段的内镜检查结果分为两组：发红和糜烂（RE）与纵向和周围溃疡（LCU）。比较两组的临床变量。此外，我们通过多因素Logistic回归分析调查了与内镜检查结果的严重程度相关的IC的危险因素。结果：LCU组出现腹痛的病例百分比显着高于RE组（p = 0.002），基线血清CRP水平也是如此（p = 0.0001）。 LCU组的住院时间比RE组更长（p = 0.0001）。多元logistic回归分析表明，缺血性心脏病（IHD）和结缔组织疾病是与IC内镜严重程度相关的独立解释因素（p <0.05）。结论：我们清楚地表明，两种内镜分类是严重程度的准确指标，可用于预测IC的严重程度。此外，我们证实IHD和结缔组织疾病是与IC内镜检查结果严重程度相关的加剧因素。

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