虚血性腸炎
概念
- 腸における動脈血の流入障害や静脈血の灌流不全による炎症。
- 炎症にとどまる限り緊急手術の適応ではなく、保存的治療で治癒する
- 急性腸間膜動脈閉鎖との鑑別が重要。see YN.A-92
疫学
- 50歳以上。動脈硬化あり。
症状
- 下血、下痢
診断
- 大腸内視鏡、注腸検査
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治療
- 保存療法
予後
- 良好
文献
- 1. Nakase H., [Ischemic enteritis]., Nippon Rinsho. 2008 Jul;66(7):1330-4.
- Abstract
- Ischemic enteritis is a rare disease, but its mortality is high, whether it is caused by anatomic occlusion of the mesenteric macrovasculature or pathophysiologic vasospasm at the microvascular level. Despite advances in the management of the critical ill patient, a large proportion of the patients recognized with this diagnosis succumb acutely to their condition. Lesser degrees of mesenteric ischemia (particularly, in small intestine), even when not manifest overtly as the classic clinical syndrome, may contribute to the development of systemic sepsis and the multiple organ failure syndrome, which leads to death. Therefore, the understanding, recognition, and proper management of mesenteric vascular insufficiency has become very important.
- PMID 18616124
- 2. 虚血性小腸炎の1例
- 本吉 宏行,西野 光一,青木 豊明,川田 普亮,曽和 融生,梅山 馨
- 日本消化器外科学会雑誌 20(8), 1984-1987, 1987-08-01
- LINKOUT CiNii Article
- free PDFあり