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Endoscopic study of campylobacter colitis



Endoscopic study of campylobacter colitis



Gastroenterological Endoscopy 29(5): 912-919



Of 140 patients (excluding pediatric patients) from whom Campyrobacter jejuni/coli have been detected in stool culture in this hospital during these 5 years, 27 patients were studied mainly endoscopically. These 27 patients (16 males and 11 females) aged 14 to 74 years, averaging 33.4, and complained of diarrhea (25 cases), bloody stool (18 cases), abdominal pain (21 cases), fever (5 cases) and vomiting (4 cases). Of these 27 cases, 26 showed changes such as redness, bleeding, erosion. In terms of distribution of lesion 7 cases (25.9%), 4 cases (14.8%) and 26 cases showed diffuse type, longitudinal type, and scattering type, respectively; 5 cases (18.5%) showed aphtoid lesions, and 7 (as high as 77.7%) out of 9 cases observed up to the ileocecal region, showed ulcerative lesions which were all found on Bauhin's valve. Lesions were observed in the rectum and sigmoid colon in 26 of 27 cases, and in the whole colic region in 7 of 9 cases examined for the whole large intestine, respectively. Histological findings in biopsy revealed crypt abscess in 45.8% and high degree of inflammations in 50%. The present Campylobacter colitis, which shows diversified endoscopic pictures, is often undifferentiable from ulcerative colitis and other infectious colitis, and sometimes from drug associated colitis and ischemic colitis. However, ulceration on Bauhin's valve was regarded as symptomatically characteristic of the present colitis.

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Accession: 005359636

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