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Gastroenterology Research and Practice
Volume 2017, Article ID 1049810, 5 pages
Research Article

Predisposing Factors of Ischemic Colitis: Data from 14 Years of Experience in a Single Center

University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Republic of Korea

Correspondence should be addressed to Hyun Il Seo; ten.liamnah@ihser

Received 1 February 2017; Revised 19 May 2017; Accepted 11 June 2017; Published 9 July 2017

Academic Editor: Joanne Bowen

Copyright © 2017 Hyun Il Seo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background and Aims. While several case reports on ischemic colitis (IC) suggest the presence of predisposing causative factors, a few studies have investigated the predisposing factors in IC. This study aimed to identify the characteristics of patients with IC, particularly focusing on the predisposing factors. Methods. We conducted a single-center, retrospective analysis of 159 patients with IC. Clinical characteristics, laboratory data, endoscopic findings, and medical records were reviewed. Data were compared between groups of patients defined according to the predisposing factors. The predisposing factors are defined as temporary states or episodic events occurring within a week before the development of IC such as colonoscopy, enema, use of laxatives, heavy drinking, pancreatitis, shock, and burn. Results. Compared to the group of patients without predisposing factors of IC, the group of patients with predisposing factors was characterized by a relatively higher prevalence of male sex (56.9% versus 33.3%, ), younger age (60.9 ± 15.4 versus 67.2 ± 13.4 years, ), lower incidence of hypertension (43.1% versus 60.2%, ), and fewer risk factors (1.24 ± 1.18 versus 1.82 ± 1.22, ). Conclusions. Among men with predisposing factors, IC may develop even at a relatively younger age and in the absence of multiple risk factors, suggesting that predisposing factors may be involved in the pathogenesis of IC.