Transient Ischaemic Colitis in Young Adults

Judge, J. S.; Hoffman, Neville E.; Levitt, M. D.

doi:10.1111/j.1445-2197.1994.tb02065.x

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…13 However, the literature describes 50 cases of ischaemic colitis in otherwise "healthy" patients aged less than 50 years of age. [2][3][4][5][6][7][8][9] In these individuals the condition is usually associated with complete recovery of the colon, in both structure and function, within one to two weeks. This essentially benign disorder is termed transient ischaemic colitis.…”

Section: Discussionmentioning

confidence: 99%

“…13 Fifty cases of transient ischaemic colitis have been reported in patients aged 16-48 years over the last 30 years. [2][3][4][5][6][7][8][9] Thirty seven (74%) of the cases were women and 13 (26%) were men. Typical symptoms reported are colicky abdominal pain, vomiting, and rectal bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…4 The patients with transient ischaemic colitis identified in the literature rarely had any underlying medical condition. Recorded predisposing factors include: previous abdominal surgery, 5 history of thromboembolic disease, 2 activated protein C resistance, 10 protein S deficiency, 6 hypovolaemic shock, 8 vasculitis, 13 drugs (for example, cocaine), 13 diabetes, 2 sickle cell disease, 13 and long distance running. 13 The most common association in young women is the use of the oral contraceptive pill which is reported to increase the relative risk of ischaemic colitis sixfold.…”

Section: Discussionmentioning

confidence: 99%

“…1 At least 50 further cases have subsequently been reported in the literature with as yet no common aetiological factors elicited. [2][3][4][5][6][7][8][9][10] This report documents two extensively investigated cases with no obvious precipitant except for a preceding aeroplane flight.…”

Section: Introductionmentioning

confidence: 91%

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Transient ischaemic colitis following an aeroplane flight: two case reports and review of the literature

Butcher

Davis²,

A³

et al. 2002

Gut

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

See 2 more Smart Citations

Transient ischaemic colitis following an aeroplane flight: two case reports and review of the literature

Butcher

Davis²,

A³

et al. 2002

Gut

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Ischemic colitis

Gandhi¹,

Hanson²,

Vernava³

et al. 1996

Diseases of the Colon &Amp; Rectum

232

155

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Ischemic colitis represents the most common form of gastrointestinal ischemia. The presumed etiologies are numerous; however, it typically develops "spontaneously," in the absence of major vasculature occlusion, and in the presence of viable intestine elsewhere. It is most usefully classified into gangrenous and nongangrenous forms, the latter of which may be subdivided into transient and chronic types. Ischemic colitis may develop in people who are otherwise healthy, although a variety of clinical settings, such as shock, predispose to its occurrence. It usually presents as an acute abdominal illness with bloody diarrhea. Diagnosis is confirmed by colonoscopy. Therapy and outcome are dependent on the severity of disease. Nongangrenous colonic ischemia usually requires only medical management and is associated with a good prognosis. The chronic subtype may lead to the sequelae of persistent segmental colitis or colonic strictures, occasionally requiring surgery. Urgent operative intervention and a high morbidity and mortality are the hallmarks of gangrenous colonic ischemia. Special considerations must be given to those patients in whom ischemic colitis develops in the context of colon carcinoma or obstructing colon lesions, after abdominal aortic surgery, and following cardiopulmonary bypass. This review will discuss the clinical spectrum of ischemic colitis.

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