| Prognosis of ischemic colitis: comparison of color doppler sonography with early clinical and laboratory findings. | |
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MedLine Citation:
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PMID: 11000181 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to compare the value of color Doppler sonography with early clinical and laboratory findings in determining the prognosis of patients with ischemic colitis. SUBJECTS AND METHODS: We reviewed the early clinical, laboratory, and color Doppler sonographic data of 24 patients with ischemic colitis. The patients were divided into two groups on the basis of their outcome. The first group comprised the patients with transient ischemia who recovered uneventfully, and the second group included the patients who needed surgery because of symptomatic transmural colic gangrene or colic stricture. Clinical data and laboratory values were compared with color Doppler sonographic findings including colic wall thickness, presence of stratification, and arterial flow in the bowel wall. RESULTS: At univariate analysis, increased age (p = 0.007), leukocyte count (p = 0.030), lactate dehydrogenase level (p = 0.030), blood lactate level (p = 0.041), and absence of vascular flow in the colic wall (p<0.001) were significantly related to complicated ischemic colitis. At multivariate analysis, absence of arterial flow was the only significant predictor of complicated ischemic colitis (p = 0.002), with a sensitivity of 82%, a specificity of 92%, a positive predictive value of 90%, and a negative predictive value of 86%. CONCLUSION: Absence of arterial flow in the wall of the ischemic colon on initial color Doppler sonography is suggestive of an unfavorable outcome and is more closely associated with outcome than early clinical and laboratory findings. |
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Authors:
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E M Danse; B E Van Beers; J Jamart; P Hoang; P F Laterre; F C Thys; A Kartheuser; J Pringot |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 175 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2000 Oct |
Date Detail:
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Created Date: 2000-10-13 Completed Date: 2000-10-13 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1151-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Universit? Catholique de Louvain, St-Luc University Hospital, Avenue Hippocrate 10, B-1200 Brussels, Belgium. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Flow Velocity / physiology Colitis, Ischemic / enzymology, ultrasonography* Colon / blood supply Female Humans L-Lactate Dehydrogenase / blood* Lactic Acid / blood* Leukocyte Count* Male Middle Aged Prognosis Ultrasonography, Doppler, Color* |
| Chemical | |
Reg. No./Substance:
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50-21-5/Lactic Acid; EC 1.1.1.27/L-Lactate Dehydrogenase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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