TY - JOUR
T1 - Amebic colitis
T2 - Correlation of proctoscopy before treatment and barium enema after treatment
AU - Martinez, C. R.
AU - Gilman, R. H.
AU - Rabbani, G. H.
AU - Koster, F.
PY - 1982
Y1 - 1982
N2 - Twenty-seven patients with severe acute amebic dysentery were studied at the International Centre for Diarrhoeal Disease Research Hospital in Dacca, Bangladesh. Patients were divided into two groups according to their pretreatment proctoscopic mucosal pattern. Those with mild lobular patterns (five patients) had milder illness; posttreatment air-contrast barium enema examinations were normal except for subtle mucosal abnormalities in two (40%). In contrast, patients with necrotic ulceration proctoscopic patterns (22 patients) had a more severe illness; 19 (86%) has ulcerations, haustral abnormalities, and/or strictures demonstrated on posttreatment barium enema examinations. Persistent strictures were found in eight of 10 patients with necrotic ulceration patterns who had sequential barium enema examinations up to 9 months after treatment. These observations indicate that despite successful therapy with metronidazole, there is a high incidence of persisting colonic abnormalities in patients with the necrotic ulceration pattern. Since proctoscopy has a useful predictive value, it should be performed in all patients with severe amebic dysentery.
AB - Twenty-seven patients with severe acute amebic dysentery were studied at the International Centre for Diarrhoeal Disease Research Hospital in Dacca, Bangladesh. Patients were divided into two groups according to their pretreatment proctoscopic mucosal pattern. Those with mild lobular patterns (five patients) had milder illness; posttreatment air-contrast barium enema examinations were normal except for subtle mucosal abnormalities in two (40%). In contrast, patients with necrotic ulceration proctoscopic patterns (22 patients) had a more severe illness; 19 (86%) has ulcerations, haustral abnormalities, and/or strictures demonstrated on posttreatment barium enema examinations. Persistent strictures were found in eight of 10 patients with necrotic ulceration patterns who had sequential barium enema examinations up to 9 months after treatment. These observations indicate that despite successful therapy with metronidazole, there is a high incidence of persisting colonic abnormalities in patients with the necrotic ulceration pattern. Since proctoscopy has a useful predictive value, it should be performed in all patients with severe amebic dysentery.
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U2 - 10.2214/ajr.138.6.1089
DO - 10.2214/ajr.138.6.1089
M3 - Article
C2 - 6979209
AN - SCOPUS:0020085686
SN - 0361-803X
VL - 138
SP - 1089
EP - 1093
JO - The American journal of roentgenology and radium therapy
JF - The American journal of roentgenology and radium therapy
IS - 6
ER -