KMID : 0359020070350010014
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Korean Journal of Gastrointestinal Endoscopy 2007 Volume.35 No. 1 p.14 ~ p.18
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Clinical Feature of Pseudomembranous Colitis with Ascites
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Kwon Oh-Wan
Lee Oh-Young Kwon Young-Il Jeong Jae-Yoon Baek Yoo-Hum Moon Won Kim Jung-Mi Koh Dong-Hee Lee Hang-Lak Yoon Byung-Chul Choi Ho-Soon Hahm Joon-Soo Lee Min-Ho Lee Dong-Hoo Kee Choon-Suk
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Abstract
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Background/Aims:Ascites is a fairly common condition, but the clinical features of pseudomembranous colitis with ascites are not well-known. The aim of this study was to determine how the existence of ascites is related to the clinical factors.
Methods:Between March 2002 and June 2006, 67 pseudomembranous colits patients were diagnosed by performing lower endoscopy and biopsy. The patients¡¯ ascites was identified by abdominal plain radiography, ultrasonography or computerized tomography. The extension of colitis was evaluated by ultrasonography or computerized tomography.
Results:16 patients (23.9%) had ascites. The serum WBC (p=0.01), hypoalbuminemia (p£¼0.01), CRP (p£¼0.01), recurrence (p£¼0.01), and extension of colitis (p£¼0.01) were associated with the existence of ascites. The four patients who had undergone paracentesis had a low SAAG level and PMN dominant ascites.
Conclusions:There were correlations of ascities with leukocytosis, hypoalbuminemia, CRP, extension of colitis and recurrence of PMC.
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KEYWORD
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Pseudomembranous colitis, Ascites
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