{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:42:03Z","timestamp":1787020923090,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Insights Imaging"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Phlebosclerotic colitis (PC) is a rare form of nonthrombotic colonic ischemia. This retrospective study analyzed the clinical findings and temporal CT changes in 29 PC patients with long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Twenty-nine patients with characteristic CT features of PC collected between 1997 and 2020 were stratified into the acute abdomen group (AA-group) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910), chronic-progressive group (CP-group) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) and chronic-stable group (CS-group) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Clinical and CT changes during follow-up, comorbidities and final outcomes were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The AA-group exhibited a significantly thicker colonic wall and more involved segments and pericolic inflammation than the CP-group and CS-group on initial CT (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009\u2009&lt;\u20090.001\u20130.031). Seven patients in the AA-group who underwent right hemicolectomy had no recurrence during follow-up (mean\u2009\u00b1\u2009SD, 7.1\u2009\u00b1\u20093.3\u00a0years), and the remaining three patients with renal or hepatic comorbidities who underwent conservative treatment died within 14\u00a0days. The CP-group showed significantly higher frequencies of chronic renal failure, urinary tract malignancies and liver cirrhosis than the AA-group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005\u20130.008). In addition, CT follow-up (7.9\u2009\u00b1\u20094.3\u00a0years) showed significant increases in mesenteric venous calcifications, colonic wall thickening and involved colonic segments (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001\u20130.008) but conservative treatments were effective. The CS-group remained unchanged for years (8.2\u2009\u00b1\u20093.9\u00a0years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early surgery offered excellent prognosis in PC-related acute abdomen denoted by marked right colonic wall thickening and pericolic inflammation on CT. Conservative treatments with a wait-and-watch strategy were appropriate for CP-PC and CS-PC, albeit CP-PC harbored significant increases in calcifications, colonic wall thickening and affected segments in long-term CT follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13244-022-01159-x","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T06:03:39Z","timestamp":1643436219000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Phlebosclerotic colitis: an analysis of clinical and CT findings in 29 patients with long-term follow-up"],"prefix":"10.1186","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-6999","authenticated-orcid":false,"given":"Sheung-Fat","family":"Ko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Hwa","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung-Cheng","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Han","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Hang","family":"Ng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Wei","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"key":"1159_CR1","first-page":"455","volume":"26","author":"N Koyama","year":"1991","unstructured":"Koyama N, Koyama H, Hanajima T, Matsubara N, Fujisaki J, Shimoda T (1991) Chronic ischemic colitis causing stenosis: report of a case [in Japanese]. 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