Abstract
As development of an isolated culture method of campylobacter jejuni, an importance of this bacillus as a pathogen of enterocolitis has been pointed out by many investigaters. We had 48 cases of campylobacter colitis from May 1982 to April 1985, and investigated their colonoscopic findings and clinical features. 29 cases underwent colonoscopic examinations, of which the entire colon and rectum were observed in 24 cases. There were only three cases without any abnormality (10.3%), while in the remaining 26 cases (89.4%) such abnormalities as redness, erosion, ulceration, etc. were observed. A rate of abnormal findings on each part was as follows : 31.0% in the rectum, 72.2% in the sigmoid colon, 50% in the descending colon, 30.8% in the transeverse colon, 24.1% in the ascending colon and 62.5% at the Bauchin valve, thus scoring a high rate in the sigmoid colon and at the Bauchin valve. The findings at the Bauchin valve were very interesting. They were acute active ulcers (10 cases) and regional redness like ulcer scar (5 cases). These ulcers were relatively large and irregular in shape, with sharp margins. No specific histopathological findings were observed. Main subjective symptoms were watery diarrhea, abdominal pain and fever. Melena was found in only one case.
