Colonoscopic differences of erosive and/or small ulcerative lesions for diagnosis of colonic inflammatory diseases

• Published in: Journal of gastroenterology and hepatology Vol. 25; no. s1; pp. S149 - S154
• Main Authors: Inoue, Takuya, Murano, Mitsuyuki, Abe, Yosuke, Morita, Eijiro, Murano, Naoko, Toshina, Ken, Umegaki, Eiji, Hirata, Ichiro, Higuchi, Kazuhide
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Melbourne, Australia Blackwell Publishing Asia 01.05.2010; Wiley-Blackwell
• Subjects: Adolescent; Adult; Aged; aphthous ulcers; Biological and medical sciences; Child; Colitis - diagnosis; Colitis - pathology; Colitis, Ulcerative - diagnosis; Colitis, Ulcerative - pathology; Colon - pathology; Colon, Sigmoid - pathology; Colonoscopy; Crohn Disease - diagnosis; Crohn Disease - pathology; Diagnosis, Differential; Digestive system. Abdomen; Endoscopy; erosions; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Female; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Investigative techniques, diagnostic techniques (general aspects); Japan; Male; Medical sciences; Middle Aged; Non tumoral diseases; Otorhinolaryngology. Stomatology; Predictive Value of Tests; Rectum - pathology; Retrospective Studies; ulcerations; Young Adult; Japan; Stomatology; Aphta; Inflammatory disease; Colonic disease; erosions; Colonoscopy; Gastroenterology; aphthous ulcers; ulcerations; Digestive diseases; Ulcer; Oral cavity disease; Diagnosis; Endoscopy; Lesion; Ulceration; Erosion
• ISSN: 0815-9319; 1440-1746
• DOI: 10.1111/j.1440-1746.2010.06233.x

Background and Aims:  Various etiologies and diseases may be related to erosive and/or small ulcerative lesions without gross appearance in the colon during colonoscopy. However, few investigators report on differential diagnosis of colonic inflammatory diseases. Thus, we investigated the clinical significance of these lesions and the value of colonoscopy in the differential diagnosis of colitis. Methods:  In 110 patients with erosive and/or small ulcerative lesions (<5 mm) who were treated in our hospital during the past 9 years, we retrospectively investigated the relationship between endoscopic morphology and clinical diagnosis. The intestinal lesions were endoscopically classified into three groups (A, hyperemic type; B, aphthous type; and C, verrucous type). Results:  The lesions were mainly located in the rectum to the sigmoid colon in group A. In group C, the lesions were most frequently located in the transverse colon and deeper areas. Endoscopically, the etiology was unclear in 74.5% of group A and 73.8% of group B, however, in group C, most of them (81.0%) were associated with specific diseases. With respect to inflammatory bowel diseases, 71.4% of the patients with Crohn's disease and all patients with ulcerative colitis were assigned to group A or B. Conclusion:  Erosive and/or small ulcerative lesions belonging to group A or B were mainly non‐specific. However, careful follow up was required in groups A and B, which included the possibility of inflammatory bowel diseases, when the symptoms or lesions were not improved.