Ischemic colitis:Clinical practice in diagnosis and treatment

• 作 者: Angeliki Theodoropoulou Ioannis E Koutroubakis
• 机 构: Gastroenterology Unit Veni- zelion General Hospital of Heraklion,Department of Gastroenterology, Uni
• 出 处: World Journal of Gastroenterology
• 发表日期: 2008年48期
• 关键词: Colon ischemia Intestinal blood flow Ischemic colitis Thrombosis

Ischemic colitis is the most common form of ischemic injury of the gastrointestinal tract and can present either as an occlusive or a non-occlusive form. It accounts for 1 in 1000 hospitalizations but its incidence is underesti- mated because it often has a mild and transient nature. The etiology of ischemic colitis is multifactorial and the clinical presentation variable. The diagnosis is based on a combination of clinical suspicion, radiographic, endo- scopic and histological findings. Therapy and outcome depends on the severity of the disease. Most cases of the non-gangrenous form are transient and resolve spontaneously without complications. On the other hand, high morbidity and mortality and urgent operative intervention are the hallmarks of gangrenous ischemic colitis.

Ischemic colitis is the most common form of ischemic injury of the gastrointestinal tract and can either either as an occlusive or a non-occlusive form. It accounts for 1 in 1000 hospitalizations but its incidence is underestimated because it often has a mild and transient The etiology of ischemic colitis is multifactorial and the clinical presentation variable. The diagnosis is based on a combination of clinical suspicion, radiographic, endo- scopic and histological findings. Therapy and outcome depends on the severity of the disease. Most cases of the non-gangrenous form are transient and resolve spontaneously without complications. On the other hand, high morbidity and mortality and urgent operative intervention are the hallmarks of gangrenous ischemic colitis.