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KMID : 0988920070050020165
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Intestinal Research
2007 Volume.5 No. 2 p.165 ~ p.169
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Role of Echocardiography for the Evaluation of Ischemic Colitis
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Lee Gui-Hyung
Jang Byung-Ik
Kim Tae-Nyeun
Lee Jun-Young
Eun Jong-Ryul
Lee Si-Hyung
Park Youn-Sun
Choi Jae-Won
Kim Kyeong-Ok
Lee Sang-Hoon
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Abstract
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Background:Ischemic colitis is recognized as the most common intestinal vascular disorder, especially in the elderly. Several predisposing factors, especially a cardiac embolism, have been reported for ischemic colitis. The aims of this study were to evaluate the prevalence of cardiovascular disease and the role of echocardiography in ischemic colitis.
Method: Thirty-six patients with ischemic colitis from January 2000 to February 2007 were analyzed retrospectively.
Results: The mean age of subjects was 68.8±8.4 years. The prevalence of cardiovascular disease in ischemic colitis patients was 33% (12/36 cases). There were eight ischemic heart disease cases, four valvular heart disease cases, three arrhythmia cases and one hypertrophic cardiomyopathy case. Echocardiography was performed in 21 cases; cardiovascular disease could be detected in 11/12 cases (92%) and four cases were previously unknown. Anticoagulant therapy was required in 25% of the patients. Factors influencing hospital stay were the presence of cardiovascular disease. The presence of an associated medical illness did not influence hospital stay.
Conclusions:Echocardiography may be useful to evaluate predisposing factors and to determine the use of anticoagulation therapy in ischemic colitis.
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KEYWORD
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Colitis, Ischemic, Cardiovascular Diseases, Echocardiography
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