Ewha Med J.  2001 Jun;24(2):65-69. 10.12771/emj.2001.24.2.65.

Characteristics of Colonoscopic Findings and Clinical Features in Acute Infectious Colitis

• Jung SA
• Kim HS
• Kim Y
• Byun EK
• Lee YS
• Jung SJ
• Ryu YJ

• KMID: 1964450
• DOI: http://doi.org/10.12771/emj.2001.24.2.65

Abstract

OBJECTIVES
The aim of this study was to investigate the characteristics of colonic mucosal lesions by colonoscopy and for assessment of clinical features in patients with acute diarrhea.
METHODS
From March 2000 to August 2001, one hundred and ten patients with watery or bloody diarrhea lasting less than 14 days. The colonoscopic finding was assessed to extent of lesion(rectum, left, right and total colon) and severity of inflammation(mild ; erythema and edema, moderate ; exudates and blood coagula, severe ; hemorrhage and ulcer).
RESULTS
Male was 60(54.5%) and median age was 43 years(range ; 15-84 years). The day of colonoscopy from symptom onset was 5 days(range 1-14 days). The causative food was flesh and meat, sea food and fish, and vegetable in order. Eight patient have history of travel including oversea. Pancolitis was the most common finding(46/110, 41.8%) and the normal colonoscopic finding was noted in eighteen cases(16.4%). The mild inflammation was 40(43.5%), moderate was 26(28.3%) and severe was 26(28.3%). The severity of inflammation was significantly correlated to the extent of lesion(p<0.05, r=0,655).
CONCLUSIONS
The colonoscopy in acute infectious colitis was a useful to evaluate the extent of lesion and the severity of disease.

Keyword

Acute infectious colitis; Colonoscopy

MeSH Terms

Colitis*
Colon
Colonoscopy
Diarrhea
Edema
Erythema
Exudates and Transudates
Hemorrhage
Humans
Inflammation
Male
Meat
Seafood
Vegetables