[Ulcerative rectocolitis: review of clinical characteristics in patients with distal colitis and extended colitis].
Ulcerative colitis is an inflammatory disease which, starting from the rectum, affects more or less extended tracts of the colon. Given that distal and extended forms are generally described as a single nosological entity, the authors aimed to verify whether there are any clinical differences between the two groups of patients with varying extents of disease. A retrospective review was made of data relating to 189 patients suffering from ulcerative colitis observed over a 90-months period. Only 111 cases were included in the study: all patients had undergone an endoscopic and histological diagnosis with a follow-up of over one year. Seventy-eight patients (41.26%) were excluded from the study because they had been lost during follow-up, or follow-up had lasted less than one year, or it had not been possible to perform pancolonoscopy. The 111 patients examined were subdivided into 2 groups: one (39 patients) with distal colitis, namely involving the rectum or recto-sigmoid, and the other (72 patients) with more extended disease. The extension of disease was evaluated on the basis of histological findings. The mean follow-up was 5 years and 11 months. The two groups were comparable for age, sex, number of annual attacks, maximum duration of disease-free periods, clinical evolution, predominant symptoms, extraintestinal symptoms and surgical treatment. Results were processed using Student's t test and the chi-square test.(ABSTRACT TRUNCATED AT 250 WORDS)
Sisto
G
G
Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia, Castellana Grotte, Bari.
Lorusso
D
D
Tarantino
S
S
Zaka
S
S
Guerra
V
V
D000328:Adult; D003093:Colitis, Ulcerative / Q000175:diagnosis* / Q000601:surgery; D003113:Colonoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors
Rettocolite ulcerosa: revisione delle caratteristiche cliniche nei pazienti con colite distale e colite estesa.