Ischemic colitis caused increased early and delayed mortality

Gilshtein, Hayim; Hallon, Kenan; Kluger, Yoram

doi:10.1186/s13017-018-0193-2

Cited by 13 publications

(20 citation statements)

References 12 publications

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“…The mortality rate was 11% in the study by Brandt et al [22] In another study, a mortality rate of around 29% was found. [25] In these studies, it was shown that mortality is significantly increased especially with right colon or pancolonic involvement. The main reason for such obvious differences between studies is the difference in the patients included.…”

Section: Discussionmentioning

confidence: 97%

Our Experience with Patients That Diagnosed Ischemic Colitis in Colonoscopy

Gökbulut

Kaplan

Dışıbeyaz

et al. 2022

Journal of Contemporary Medicine

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Ischemic colitis (IC) is one of the most common causes of lower gastrointestinal bleeding, especially in patients over 60 years of age. In this study, we investigated the clinical and demographic characteristics of patients with IC detected by colonoscopy. Material and Method:This study was conducted retrospectively by examining the records of patients who underwent colonoscopy for various reasons between January 2014 and December 2017. Patients with an IC pre-diagnosis in the colonoscopy reports were included in the study. A total of 130 patients were found; 18 patients were excluded from the study due to lack of data and the study was conducted with 112 patients.Results: Definitive IC was diagnosed in 56 of the 112 patients who had a preliminary diagnosis by colonoscopy (50%). The average age of patients diagnosed with definitive IC was 68; 30 were male and 26 were female. IC patients presented to the hospital with complaints of abdominal pain, hematochezia, diarrhea, and fever. IC most frequently affected the left colon. In the Doppler findings of patients with IC, all mesenteric vessels and aortas were normal in the large majority of patients (70%). When predisposing factors that may cause IC were examined, hypertension was observed in 59% of patients, coronary artery disease in 59%, diabetes mellitus in 21%, and heart failure in 18%. The vast majority of patients improved with medical therapy (89%). Six patients underwent surgery for colon resection (11%); 4 of these patients recovered but 2 died due to extensive thromboembolic disease and associated extensive ischemia (4%). Conclusion:IC is a disease that presents with symptoms such as bloody diarrhea and abdominal pain, especially in elderly male patients with predisposing risk factors. It is frequently seen in the left colon, responds well to medical treatment, and should be considered in every patient with acute diarrhea and abdominal pain.

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Section: Discussionmentioning

confidence: 97%

Our Experience with Patients That Diagnosed Ischemic Colitis in Colonoscopy

Gökbulut

Kaplan

Dışıbeyaz

et al. 2022

Journal of Contemporary Medicine

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“…AMI is caused by a sudden interruption of the blood supply for a segment of the small intestine, causing ischemia, cellular damage and intestinal necrosis. In a recently published article, Gilshtein et al identified 63 patients with ischemic colitis, the most common form of AMI, in one tertiary center 11 . Most patients were treated clinically, and only the 20% most serious cases, with complications such as peritonitis, hemodynamic instability and untreatable disease, received surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

Martines

Nii

Medeiros

et al. 2020

Preprint

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Introduction: The number of non-cardiac major surgeries carried out has significantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, with less surgery planning time and greater clinical severity, the risks become even more significant. The aim of this study is to determine the incidence and clinical outcomes in patients with cardiovascular disease submitted to non-cardiac surgical procedures in a single cardiovascular referral center. Methods: This is a prospective cohort study of patients with cardiovascular disease submitted to non-cardiovascular surgery. All procedures were carried out by the same surgeon, between January 2006 and January 2018. Results: 240 patients included were elderly, 154 were male (64%), 8 patients presented two diagnoses. Of the resulting 248 procedures carried out, 230 were emergency (92.8%). From the data obtained it was possible to estimate the day from which the occurrence of mortality is less probable in the postoperative phase. Conclusion: Our research evaluated the epidemiological profile of the surgeries and we were able to estimate the survival and delimit the period of greatest risk of mortality in these patients. The high rate of acute mesenteric ischemia was notable, a serious and frequently fatal condition.

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“…In a recently published article, Gilshtein et al identified 63 patients with ischemic colitis, the most common form of AMI, in one tertiary center 11 . Most patients were treated clinically, and only the 20% most serious cases, with complications such as peritonitis, hemodynamic instability and untreatable disease, received surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

Martines

Nii

Medeiros

et al. 2020

Sci Rep

View full text Add to dashboard Cite

The number of non-cardiac major surgeries carried out has significantly increased in recent years to around 200 million procedures carried out annually. Approximately 30% of patients submitted to non-cardiac surgery present some form of cardiovascular comorbidity. In emergency situations, with less surgery planning time and greater clinical severity, the risks become even more significant. The aim of this study is to determine the incidence and clinical outcomes in patients with cardiovascular disease submitted to non-cardiac surgical procedures in a single cardiovascular referral center. This is a prospective cohort study of patients with cardiovascular disease submitted to non-cardiovascular surgery. All procedures were carried out by the same surgeon, between January 2006 and January 2018. 240 patients included were elderly, 154 were male (64%), 8 patients presented two diagnoses. Of the resulting 248 procedures carried out, 230 were emergency (92.8%). From the data obtained it was possible to estimate the day from which the occurrence of mortality is less probable in the postoperative phase. Our research evaluated the epidemiological profile of the surgeries and we were able to estimate the survival and delimit the period of greatest risk of mortality in these patients. The high rate of acute mesenteric ischemia was notable, a serious and frequently fatal condition.

show abstract

Ischemic colitis caused increased early and delayed mortality

Cited by 13 publications

References 12 publications

Our Experience with Patients That Diagnosed Ischemic Colitis in Colonoscopy

Our Experience with Patients That Diagnosed Ischemic Colitis in Colonoscopy

Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

Survival curve identifies critical period for postoperative mortality in cardiac patients undergoing emergency general surgery

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