Multicenter epidemiological survey of pneumatosis intestinalis in Japan

<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Pneumatosis intestinalis (PI) is a rare condition characterized by gas collection in the intestinal wall. We aimed to determine the etiology and affected segments associated with complications, treatment, and outcome.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>We conducted a multicenter epidemiological survey using a standardized data collection sheet in Japan. Complicating PI was defined as strangulation or bowel necrosis, bowel obstruction, adynamic ileus, sepsis, shock, and massive gastrointestinal bleeding requiring blood transfusion.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>We enrolled 167 patients from 48 facilities. Multivariate analysis revealed that older age (adjusted OR, 1.05 and 95% confidence intervals [CI], 1.02–1.09, <jats:italic>P</jats:italic> = 0.0053) and chronic kidney disease (adjusted OR, 13.19 and 95% CI 1.04–167.62, <jats:italic>P</jats:italic> = 0.0468) were independent predictors of the small-bowel-involved type. Complicating PI was associated with the small-bowel-involved combined type (adjusted OR, 27.02 and 95% CI 4.80–152.01, <jats:italic>P</jats:italic> = 0.0002), the small-bowel-only type (adjusted OR, 3.94 and 95% CI 1.02–15.27, <jats:italic>P</jats:italic> = 0.0472), and symptomatic PI (adjusted OR, 16.24 and 95% CI 1.82–145.24, <jats:italic>P</jats:italic> = 0.0126). Oxygen therapy was performed in patients with a past history of bowel obstruction (adjusted OR, 13.77 and 95% CI 1.31–144.56, <jats:italic>P</jats:italic> = 0.0288) and surgery was performed in patients with complicating PI (adjusted OR, 8.93 and 95% CI 1.10–72.78, <jats:italic>P</jats:italic> = 0.0408). Antihypertensives (adjusted OR, 12.28 and 95% CI 1.07–140.79, <jats:italic>P</jats:italic> = 0.0439) and complicating PI (adjusted OR, 11.77 and 95% CI 1.053–131.526; <jats:italic>P</jats:italic> = 0.0453) were associated with exacerbation of PI. The complicating PI was the only indicator of death (adjusted OR, 14.40 and 95% CI 1.09–189.48, <jats:italic>P</jats:italic> = 0.0425).</jats:p> </jats:sec><jats:sec> <jats:title>Discussion</jats:title> <jats:p>Small-bowel-involved type and symptomatic PI were associated with complications which were indicators of poor prognosis.</jats:p> </jats:sec>