A Clinical Study of 4 Cases of Obstructive Colitis

Toshiaki Ichihara, Kazuo Tenma, Hirosi Nanjo^*, Manabu Itoh, Isao Kikuchi, Yasuhiro Sasaki, Yukiko Hosono and Masaaki Nakamura

Department of Surgery, Ogachi Central Hospital
Second Department of Pathology, Akita University^*

The term "obstructive colitis" refers to ulceroinflammatory lesions occurring in the colon proximal to an obstructive or potentially obstructive lesion. We present 4 cases of obstructive colitis associated with colorectal carcinoma. In all 4 cases, we had difficulty correctly diagnosing the mucosal colon condition and the degree of inflammation observing serosa during surgery. Our cases suggest that the ulceroinflammatory lesion in colonic musosa may be a reversible change, possibly enabling construction of a temporary colostomy to preserve the colon in many few cases. We thus consider that surgical strategies for obstructive colitis require greater analysis.

Key words
obstructive colitis

Reprint requests
Toshiaki Ichihara Department of Surgery, Ogachi Central Hospital
3-3-15 Omotemachi, Yuzawa, 012-0827 JAPAN

Accepted
March 27, 2002

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