@article{oai:u-ryukyu.repo.nii.ac.jp:02019573,
 author = {平良, 勝己 and Taira, Katsumi and 中山, 正彦 and Nakayama, Masahiko and 比嘉, 昇 and Higa, Noboru and 玉木, 正人 and Tamaki, Masato and 上里, 忠興 and Uezato, Tadaoki},
 issue = {1-4},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 month = {Oct},
 note = {Rarity of ischemic colitis post-colectomy. This is a case report and minor discussion of the literature regarding ischemic colitis onset after a laparoscopic high anterior resection. The case was a 44-year-old male who underwent laparoscopic high anterior resection for a 15mm-sized semi-pedunculated (Isp) polyp of the rectosigmoid with a positive non-lifting sign. The patient was subsequently hospitalized for testing four weeks post-surgery with chills, a 39.5℃ fever, lower abdominal pain, and frequent diarrhea. Colonoscopy indicated reddening, edematous changes, and anastomotic stricture of the rectal mucosa; hence, ischemic colitis was diagnosed. Symptoms did not improve despite the monitoring of fasting, antibiotic administration, and nutritional management using high-calorie infusion. Therefore, when prostaglandin E_1 (PGE_1), expected to improve intestinal circulation by causing strong vasodilation and inhibition of platelet aggregation, was administered by continuous intravenous infusion, it had a dramatic effect on improving intestinal ischemia. PGE1 has traditionally been reported as increasing blood flow in the mesenteric arteries, but reports regarding its effect on intestinal ischemia are scant. The usefulness of PGE1 is suggested by studies showing its improvement of intestinal ischemia.},
 pages = {31--35},
 title = {腹腔鏡下高位前方切除術後に発症した虚血性大腸炎の 1 例},
 volume = {40},
 year = {2021}
}