From: Multicenter epidemiological survey of pneumatosis intestinalis in Japan
Characteristics | n | (%) |
---|---|---|
Symptoms | ||
Asymtomatic | 70 | (41.9) |
Symptomatic | 97 | (58.1) |
Complications | ||
Abscense | 141 | (84.4) |
Presence | 26 | (15.6) |
Strangulation or bowel necrosis | 10 | (6.0) |
Bowel obstruction | 4 | (2.4) |
Massive bleeding | 4 | (2.4) |
Adynamic ileus | 4 | (2.4) |
Bowel perforation | 3 | (1.8) |
Sepsis | 1 | (0.6) |
Segments involved | ||
Large bowel only | 119 | (71.3) |
Right-sided colon only | 84 | (50.3) |
Left-sided colon only | 25 | (15.0) |
Right- and left-sided colon | 6 | (3.6) |
Throughout the large bowel | 2 | (1.2) |
Rectum only | 1 | (0.6) |
Left-sided colon and rectum | 1 | (0.6) |
Small bowel only | 33 | (19.8) |
Ileum only | 14 | (8.4) |
Jejunum only | 11 | (6.6) |
Ileum and jejunum | 8 | (4.8) |
Combined | 13 | (7.8) |
Ileum and right-sided colon | 3 | (1.8) |
Ileum, right- and left-sided colon | 3 | (1.8) |
Jejunum, ileum, right- and left-sided colon | 3 | (1.8) |
Esophagus, stomach, small bowel | 2 | (1.2) |
Jejunum and right-sided colon | 1 | (0.6) |
Esophagus, stomach, small bowel, and colon | 1 | (0.6) |
Diagnostic examination | ||
Endoscopy | 90 | (53.9) |
Computed tomography | 85 | (50.9) |
Plain abdominal roentgenogram | 27 | (16.2) |
Barium enema roentgenogram | 19 | (11.4) |
Endoscopic ultrasonography | 6 | (3.6) |
Laparotomy | 1 | (0.6) |
Treatment | ||
Conservative treatment | 117 | (70.1) |
Oxygen therapy | 35 | (21.0) |
Hyperbaric | 16 | (9.6) |
Conventional | 19 | (11.4) |
Endoscopic therapy | 3 | (1.8) |
Puncture with needle | 2 | (1.2) |
Deaeration | 1 | (0.6) |
Surgery | 12 | (7.2) |
Outcome of pneumatosis intestinalis | ||
Improvement | 119 | (71.3) |
Disapperance | 80 | (47.9) |
Reduction | 36 | (21.6) |
Recurrence | 1 | (0.6) |
Unknown | 2 | (1.2) |
No change | 40 | (24.0) |
Exacerbation | 8 | (4.8) |
Prognosis | ||
Survival | 159 | (95.2) |
Death | 8 | (4.8) |
Strangulation | 4 | (2.4) |
Sepsis | 2 | (1.2) |
Bleeding | 1 | (0.6) |
Data unavailable | 1 | (0.6) |