Korean Journal of Nephrology 2009;28(6):595-602.
Clinical Features of Ischemic Colitis in Patients with Chronic Kidney Disease
Su Jin Seok, M.D., Kyu Jin Kim, M.D., Bum Suk Son, M.D., Yong Sub Lee, M.D., Seong Ah Hong, M.D., Moo Yong Park, M.D., Soo Jeong Choi, M.D., Bong Min Ko, M.D., Jin Kuk Kim, M.D. and Seung Duk Hwang, M.D.
Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea
원저 : 만성 콩팥병 환자에서 허혈성 대장염의 임상양상
석수진, 김규진, 손범석, 이용섭, 홍성아, 박무용, 최수정, 고봉민, 김진국, 황승덕
순천향대학교 의과대학 부천병원 내과
Abstract
Purpose:Hemodialysis patients are at an increased risk of ischemic colitis because of accelerated arterial vascular disease rate and hypotension during dialysis. But few data exist on the clinical features of ischemic colitis in patients with chronic kidney disease including dialysis patients in Korea. The aim of this study is to identify the clinical features of ischemic colitis in patients with chronic kidney disease (CKD). Methods:We retrospectively reviewed total 68 patients (63.9±16.2 years) with ischemic colitis. We analyzed medical history, colonoscopic findings, clinical characteristics, and compared them according to kidney function. Results:Twenty-two (33.9%) patients had CKD stage ≥3 at diagnosis of ischemic colitis. Prevalence of hypertension and diabetes was higher in patients with CKD than those with normal kidney function. High leukocyte count and low hemoglobin level were demonstrated at diagnosis in CKD patients. In addition, duration of hospitalization in patients with CKD was longer than patients with normal kidney function. However, there was no significant difference in right colonic involvement, cardiovascular diseases, surgical intervention, and mortality. Hospitalization days was positively correlated with increased leukocyte count (p=0.015) and decreased albumin level (p=0.002), while that was negatively correlated with age-adjusted estimated glomerular filtration rate (p=0.002). Conclusion:Ischemic colitis in patients with CKD had longer hospitalization than in those with normal kidney function. However, there was no significant difference in surgical intervention and mortality.
Key Words: Chronic renal failure, Ischemic colitis, Hospitalization


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
#301, (Miseung Bldg.) 23, Apgujenog-ro 30-gil, Gangnam-gu, Seoul 06022, Korea
Tel: +82-2-3486-8736    Fax: +82-2-3486-8737    E-mail: registry@ksn.or.kr                

Copyright © 2021 by The Korean Society of Nephrology.

Developed in M2PI

Close layer
prev next