Endovascular Treatment of Segmental Ischemic Colitis

Systematic review on the treatment of ischaemic colitis

“…Only a prospective trial can answer this question. The successful endovascular management of segmental colonic ischaemia has been described [16], and it may be that this type of technique will open up new therapeutic possibilities.…”

“…Arteriography has always been considered the gold standard technique for vascular bowel disorders, especially in the diagnosis of chronic and acute mesenteric ischaemia [2]. It may also be used for the treatment of acute mesenteric ischaemia where thrombolysis can be performed [16]. Arteriography for ischaemic colitis is not well described, and this review has not identified studies that use it routinely.…”

Right-Side Colon Ischemia: Clinical Features, Large Visceral Artery Occlusion, and Long-Term Follow-Up

“…A case report describes a 64-year-old American woman who had initial colon ischemia of unstated distribution, subsequent left-side colon ischemia, and previous chronic abdominal pain who underwent stenting of celiac artery and IMA stenoses.She was pain-free 12 weeks later. 22 Another report comments on 2 patients who died of recurrent colon ischemia after arterial stenting for chronic mesenteric ischemia, but clinical, angiographic, and other details are lacking. 23 Some authors now suggest angiography may be useful when acute mesenteric ischemia is also considered in association with colon ischemia or in some cases of RSCI.…”

Kolorektale Blutung – Differentialdiagnostik und Therapie

“…Thrombektomie unternommen werden, soweit dies die Restvitalität des betroffenen Darmsegments zulässt, bzw. die entsprechende Segmentresektion erfolgen [22,23].…”