[Should subdivision of regressive ischemic colitis be envisaged?].
The term "regressive ischemic colitis" is generally accepted and refers to acute hemorrhagic colitis which may occur at any age and recovers spontaneously in most cases, sometimes leaving colonic stenosis due to scarring. Critical analysis of the literature reveals that there is no formal diagnostic criterion for this condition and no real proof that the mechanism is ischemic, particularly in young subjects who have no vascular disorder or hemodynamic triggering factor. The number of clinical, radiological, endoscopic and even histological similarities between regressive ischemic colitis and some forms of infectious colitis, particularly due to enterohemorrhagic E. coli O157:H7 and hemorrhagic colitis due to penicillin derivatives and non-steroid anti-inflammatory drugs is also striking. These observations logically lead us to wonder whether the term "regressive ischemic colitis" does really correspond to a well-defined entity rather than to a group of acute colitis of miscellaneous etiology but with many common features.
Mallet
L
L
Service d'Hépato-Gastroentérologie Hôpital Saint-Joseph, Paris.
Verdier
D
D
D000328:Adult; D000900:Anti-Bacterial Agents / Q000009:adverse effects; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects; D003092:Colitis / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D017091:Colitis, Ischemic / Q000145:classification* / Q000175:diagnosis; D003106:Colon / Q000473:pathology; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000139:chemically induced / Q000175:diagnosis / Q000209:etiology; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D010406:Penicillins / Q000009:adverse effects; D011379:Prognosis
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D010406:Penicillins
Faut-il envisager un démembrement des colites ischémiques régressives?