Factores predictivos de colitis isquémica después de un aneurisma de aorta abdominal roto

Cordobés-Gual, J.; Riera-Vázquez, R.; Merino-Mairal, O.A.; Lara-Hernández, R.; Manuel-Rimbau, E.; Corominas-Roura, C.; Juliá-Montoya, J.; Lozano-Vilardell, P.; Gómez-Ruiz, Francisco Tadeo

doi:10.1016/s0003-3170(04)74897-x

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For this reason, some authors recommend to make a colonoscopy within 24 hours after resection of an aortic aneurysm broken. Later, if there are early risk factors such as hypotension at admission, prolonged surgical time, sustained hypotension during surgery, metabolic acidosis and prolonged clamping time, it is recommened repeated colonoscopies for early diagnosis and treatment (12). In our study, 22.3% of patients had a history of recent cardiovascular surgery.…”

Section: Discussionmentioning

confidence: 72%

See 1 more Smart Citation

Usefulness of colonoscopy in ischemic colitis

Maya

Díaz

González-Asanza

et al. 2010

Rev. esp. enferm. dig.

View full text Add to dashboard Cite

Background: the ischemic colitis is intestinal the most frequent cause of ischemia. With this work we determine the demographic and clinical characteristics, and the usefulness of the colonoscopy in the patients with ischemic colitis diagnosed in our centre in relation to a change of therapeutic attitude.Method: retrospective study in which were selected 112 patients diagnosed with ischemic colitis by colonoscopy and biopsy, in a period of five years. It was analyzed: age, sex, reason for examination, factors of cardiovascular risk, endoscopic degree of ischemia, change in the therapeutic attitude, treatment and outcome.Results: the average age was of 73.64 ± 12.10 years with an equal incidence in women (50.9%) and the men (49.1%). The associated factors were the HTA (61.1%), tobacco (37.2%) and antecedents of cardiovascular episode (52.2%). The most frequent reason for colonoscopy was rectorrhagia (53.6%) followed of the abdominal pain (30.4%), being urgent the 65.3%. Colonoscopy allowed a change in the therapeutic attitude in the 50 increasing in the urgent one to the 65.75%. Global mortality was of 27.67%. The serious ischemic colitis (25%) was more frequent in men (64.3%) in urgent indication (85.71%) and attends with high mortality (53.57%). Surgical treatment in the 57.14% was made with a good evolution in the 50%, whereas the patients with mild or moderate ischemic colitis had a better prognosis (favourable evolution in 80.95%) with smaller requirement of the surgical treatment (4.76%), p < 0.05.Conclusion: the colitis ischemic are more frequent in the older age. The most frequent symptoms are the rectorrhagia and the abdominal pain. The colonoscopy is a useful technique to evaluate the gravity and it induces a change of attitude according to the result of the same one. The evidence of a serious colitis supposed an increase of the necessity of surgery and worse prognosis.

show abstract

Section: Discussionmentioning

confidence: 72%

“…Normally it is underestimated by the existence of cases by few symptoms. There are several risk factors that must be born in mind to establish a rapid diagnosis of suspicion (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Most frequent location is the left colon, fundamentally splenic flexure and rectosigmoid junction.…”

Section: Introductionmentioning

confidence: 99%