2018 Volume 60 Issue 4 Pages 981-990
Background and Aim : Elucidating the endoscopic findings of Campylobacter enterocolitis and Salmonella enterocolitis is useful for differential diagnosis from other diseases.
Method : Over the past 7 years, we experienced 138 Campylobacter enterocolitis and 23 Salmonella enterocolitis cases. We retrospectively analyzed their clinical characteristics and endoscopic findings.
Results : Regarding the clinical symptoms, there were no significant differences between Campylobacter enterocolitis and Salmonella enterocolitis. The rate of any endoscopic findings on the descending colon, sigmoid colon and rectum among the Campylobacter enterocolitis cases was significantly higher than that among the Salmonella enterocolitis cases. Characteristic findings of the colonic mucosa were intramucosal hemorrhage and edema in both diseases. The rate of an ulcer on Bauhin’s valve among the Campylobacter enterocolitis cases was significantly higher than that among the Salmonella enterocolitis cases. On the other hand, the rate of colonic ulcers among the Campylobacter enterocolitis cases was significantly lower than that among the Salmonella enterocolitis cases.
Conclusions : Characteristic findings of the colonic mucosa are intramucosal hemorrhage and edema in both diseases. The presence of an ulcer on Bauhin’s valve or colonic ulcers may be useful to endoscopically differentiate between Campylobacter enterocolitis and Salmonella enterocolitis.
