Investigation and management of ischemic colitis.

Cleve Clin J Med

Department of Colorectal Surgery, The Cleveland Clinic Foundation, OH 44195, USA.

Published: November 2003

AI Article Synopsis

  • The colon is the most frequently affected area for gastrointestinal ischemia, which can often be treated effectively with conservative methods.
  • Late diagnosis or severe cases may lead to serious complications and higher mortality rates.
  • After diagnosis, ongoing monitoring through physical exams and colonoscopies is important, and surgery may be necessary for severe instances or chronic symptoms when conservative treatment does not work.

Article Abstract

The colon is the most common site of gastrointestinal ischemia. The condition resolves completely with conservative treatment in most cases, but late diagnosis or severe ischemia can be associated with high rates of complications and death. Once ischemic colitis is diagnosed, serial physical examinations and colonoscopies are helpful to follow the condition. Prompt surgery is required for severe episodes, when conservative measures fail, and for patients with chronic symptoms.

Download full-text PDF

Source
http://dx.doi.org/10.3949/ccjm.70.11.920DOI Listing

Publication Analysis

Top Keywords

ischemic colitis
8
investigation management
4
management ischemic
4
colitis colon
4
colon common
4
common site
4
site gastrointestinal
4
gastrointestinal ischemia
4
ischemia condition
4
condition resolves
4

Similar Publications

Introduction: This study investigates risk factors and surgical outcomes in pediatric patients with congenital heart defects (CHD) who develop ischemic colitis (IC). Previous research indicates a higher IC risk in very low birth weight neonates with CHD.

Methods: A retrospective analysis compared an IC-CHD group to a CHD-only group.

View Article and Find Full Text PDF

Mass-forming isolated ischemic necrosis of the cecum mimicking malignancy: Clinicopathologic features of 11 cases.

Ann Diagn Pathol

December 2024

Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address:

Isolated ischemic necrosis of the cecum (INC) is an uncommon benign condition that occurs most often in elderly patients. The clinical presentation and radiographic findings often mimic acute appendicitis or malignancy. This study aimed to investigate the clinicopathologic features of mass-forming INC.

View Article and Find Full Text PDF

Background And Aim: We conducted a retrospective study to identify incidence rates and potential risk factors of major adverse cardiac events (MACE) in Japanese patients with ulcerative colitis (UC), as existing data are scarce, inconsistent, and provide limited representation of the real-world situation of MACE in Japan.

Methods: We utilized administrative claims data, collected between January 2013 and December 2022, from Medical Data Vision, Japan. Patients (aged ≥ 20 years) diagnosed with UC within ± 1 month of the prescription date during the study period were included in the incident cohort.

View Article and Find Full Text PDF

Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumors of unknown etiology composed of myofibroblastic cells admixed with inflammatory cells. Presented is a 72-year-old male hospitalized for severe abdominal pain and hematochezia with onset of associated symptoms of fever and sweats a few hours prior to abdominal pain. A computed tomography (CT) demonstrated left colonic thickening interpreted as partial obstruction, gross adhesions, and ischemia.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!