Outcome of Patients With Ischemic Colitis: Review of Fifty-Three Cases

Medina, Carlos; Vilaseca, J; Videla, Sebastián; Fabra, R. Sarget; Armengol-Miro, J. R.; Malagelada, Juan–R.

doi:10.1007/s10350-003-0033-6

Cited by 102 publications

(117 citation statements)

References 15 publications

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“…These may cause reduction of blood flow in the mucosa or wall of the intestinal tract, leading to ischemia. In the present study, patients with hypertension (61%), chronic constipation (58.5%), and history of abdominal surgery (43.9%) exhibited higher prevalence of ischemic colitis, which are consistent with previous reports [19,20] . Tohda et al [7] detected the correlation between arteriosclerosis and ischemic colitis using pulse wave velocity (PWV) as an indicator related to vascular factors, and reported higher PWV levels for the elderly.…”

Section: Discussionsupporting

confidence: 93%

Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer

Matsumoto¹,

Tsuji²,

Shirahama³

2007

WJG

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AIM: To investigate the relationship among the presence of ulcer lesions, underlying disease, and clinical course in patients with ischemic colitis. METHODS:The subjects were 41 patients (10 male and 31 female; mean age 70 years) with ischemic colitis who were admitted to and received treatment in our hospital from 2000 to 2006. We compared their characteristics and analyzed the mean lengths of admission and fasting for 9 patients with ulcer lesions (ulcer group) and 32 without (non-ulcer group). RESULTS:The groups with presence and absence of ulcer differed significantly only in white blood cell (WBC) count. Lengths of fasting and admission were 7.9 d and 17.9 d for the ulcer group and 4.4 d and 10.7 d for the non-ulcer group, respectively, and significantly longer in the ulcer group (P = 0.0057 and 0.0001). There was no correlation between presence of ulcer and presence of underlying diseases. CONCLUSION:Lengths of fasting and admission were significantly longer in patients with ischemic colitis with ulcer than for those without ulcer.

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Section: Discussionsupporting

confidence: 93%

Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer

Matsumoto¹,

Tsuji²,

Shirahama³

2007

WJG

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“…There are conflicting results with regard to the relationship between the medical history of patients and the severity of IC. High blood pressure, history of cancer, diabetes mellitus, aortic surgery, peripheral vascular disease and involvement of the right side of the colon have been suggested by some authors to be predisposing factors for a worse evolution of the disease [30][31][32] . In the study by Anon et al [33] , factors predicting poor prognosis in ischemic colitis were the absence of hematochezia, tachycardia and peritonism, anemia, hyponatremia and colonic stenosis.…”

Section: Classificationmentioning

confidence: 99%

Ischemic colitis: Clinical practice in diagnosis and treatment

Theodoropoulou

Koutroubakis²

2008

WJG

218

169

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“…Few studies have analyzed the factors associated with severe outcome in IC (10,(13)(14)(15). Initial hemodynamic instability, coexisting medical diseases, hypertension and history of cancer have been connected with the severe form.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Endoscopic Findings and Clinical Severity in Ischemic Colitis

et al. 2011

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Background and Aim The incidence of ischemic colitis (IC) in Japan has been increasing due to the westernization of diet and the aging population. The aim of this study was to evaluate the relationship between endoscopic findings and clinical severity in IC. Methods This retrospective analysis included 106 cases diagnosed with IC that were divided into two groups based on endoscopic findings in the acute stage: redness and erosion (RE) versus longitudinal and circumferential ulcers (LCU). The clinical variables were compared between the two groups. In addition, we investigated the risk factors of IC associated with the severity of the endoscopic findings by multivariate logistic regression analysis. Results The percentage of cases presenting abdominal pain was significantly higher in the LCU group than that in the RE group (p=0.002), as were the baseline serum CRP levels (p=0.0001). The periods of hospitalization in LCU group were longer than in the RE group (p=0.0001). Multivariate logistic regression analysis indicated that ischemic heart disease (IHD) and connective tissue disease were the independent explanatory factor associated with the endoscopic severity of IC (p<0.05). Conclusion We showed clearly that the two endoscopic classifications were accurate indicators of severity and could be used to anticipate severity of IC. Furthermore, we confirmed that IHD and connective tissue disease were the exacerbating factor associated with the severity of endoscopic findings in IC.

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Outcome of Patients With Ischemic Colitis: Review of Fifty-Three Cases

Abstract: Ischemic colitis usually runs a benign course after acute colonic insult. Peripheral vasculopathy and right colonic involvement are associated with severe forms of ischemic colitis.

Cited by 102 publications

References 15 publications

Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer

Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer

Ischemic colitis: Clinical practice in diagnosis and treatment

Relationship Between Endoscopic Findings and Clinical Severity in Ischemic Colitis

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