Paper
Ischemic colitis: clinical practice in diagnosis and treatment.
Published Dec 28, 2008 · A. Theodoropoulou, I. Koutroubakis
World journal of gastroenterology
242
Citations
13
Influential Citations
Abstract
Ischemic colitis is the most common form of ischemic injury of the gastrointestinal tract and can present either as an occlusive or a non-occlusive form. It accounts for 1 in 1000 hospitalizations but its incidence is underestimated because it often has a mild and transient nature. The etiology of ischemic colitis is multifactorial and the clinical presentation variable. The diagnosis is based on a combination of clinical suspicion, radiographic, endoscopic and histological findings. Therapy and outcome depends on the severity of the disease. Most cases of the non-gangrenous form are transient and resolve spontaneously without complications. On the other hand, high morbidity and mortality and urgent operative intervention are the hallmarks of gangrenous ischemic colitis.
Ischemic colitis is a common and often underestimated gastrointestinal condition, with diagnosis based on clinical suspicion, radiographic, endoscopic, and histologic findings, and treatment depending on the severity of the disease.
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