Can We Predict the Development of Ischemic Colitis Among Patients with Lower Abdominal Pain?

• DOI: 10.1007/s10350-006-0753-5
• Publication Date: 2006-12-12T22:33:33Z
• Authors: Chi Jun Park; Myoung Kuk Jang; Woon Geon Shin; Hyoung Su Kim; Hee Seon Kim; Ki Sung Lee; Ja Young Lee; Kyung Ho Kim; Joon Yong Park; Jin Heon Lee; Hak Yang Kim; Eun Sook Nam; Jae Young Yoo
• Keywords: Ischemic Colitis; Hypoalbuminemia; Sigmoidoscopy

This study was performed to find clinical risk factors for developing ischemic colitis in patients experiencing lower abdominal discomfort with or without bloody diarrhea.A total of 467 who underwent sigmoidoscopy colonoscopy because discomforts blood stool were consecutively enrolled; 147 diagnosed endoscopically and histologically as having colitis. The control group composed the remaining 320 nonspecific endoscopic/histologic findings. Clinical variables compared between group.After excluding 67 group, we 80 using various parameters. According logistic regression analysis, six significantly related colitis: older than aged 60 years (adjusted odds ratio, 5.7; 95 percent confidence interval: 2.6-11.7), hemodialysis (5; 1.2-21.6), hypertension (4.9; 2.3-10.5), hypoalbuminemia (3.5; 1.8-6.7), diabetes mellitus (3.4; 1.3-8.8), constipation-inducing medications (2.8; 1.1-7.1). Through our able predict development 0, 1, 2, 3, 4+ factors: 8, 21, 55, 79, 100 percent, respectively.Old age, hemodialysis, hypertension, mellitus, hypoalbuminemia, are clinically important stool. By considering these factors, high accuracy