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충수개구부 주위에 비연속성 병변이 관찰되었던 궤양성 대장염의 임상적 검토

Investigation of Skip Lesion at the Appendiceal Orifice in Ulcerative Colitis

대한대장항문학회지 2000년 16권 1호 p.12 ~ 17
임석원 ( Lim Seok-Won ) - 송도병원 외과

김현식 ( Kim Hyun-Sik ) - 송도병원 외과
황도연 ( Hwang Do-Yeon ) - 송도병원 외과
김건욱 ( Kim Khun-Uk ) - 송도병원 외과
박원갑 ( Park Won-Kap ) - 송도병원 외과
이광렬 ( Lee Kwang-Ryul ) - 송도병원 외과
유정준 ( Yoo Jung-Jun ) - 송도병원 외과
이종균 ( Lee Jong-Kyun ) - 송도병원 외과
김광연 ( Kim Kwang-Yeon ) - 송도병원 외과

Abstract


Background: Generally ulcerative colitis has a character that has a continuous pathological lesion from the rectum toward the cecum. Ulcerative appendicitis with a skipped appendiceal orifice lesion, which is unusual in ulcerative colitis, has been infrequently reported, and its clinical characteristics have not been identified.

Purpose: This study was carried out to evaluate the incidence rate and the clinical characteristics of ulcerative appendicitis.

Methods: One hundred consecutive patients with ulcerative colitis who had been treated from Jan. 1997 to Aug. 1998 at Song-Do Colorectal Hospital were used for the study. Data evaluated included age, sex, involved site, clinical type, clinical severity of the disease, and endoscopic severity of the disease.

Results: Nineteen (19%) of the 100 patients had skipped lesions around the appendiceal orifice; the other 81 did not. There were no significant differences between these two groups with respect to the age and the sex distributions, the
involved site, the clinical type, and the clinical severity. There was a correlation between the endoscopic grades, based on the Riley classification, of the lesions at the rectum and at the appendiceal orifice. Seven patients (36.8%) of the 19 patients with appendiceal orifice lesions showed an extended lesion from the appendiceal orifice to the cecum.

Conclusion: We suggest that appendiceal lesions in ulcerative colitis are not infrequent. Even though no significant differences in the clinical characteristics of ulcerative colitis with ulcerative appendicitis, compared with those of ulcerative colitis without ulcerative penicillins, were found, we suggest that more profound study of ulcerative appendicitis probably
contribute to understand the pathophysiology of ulcerative colitis.

키워드

Ulcerative colitis;Ulcerative appendicitis;Skipped appendiceal orifice lesion
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