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Published on: October 16, 2013
[Ischemic colitis. Presentation of three cases and review of literature]
Carlos Barreda Costa1, Simón Yriberry Urena, Fernando Salazar Cabrera
1Gastroenterólogo Asociado de la Clínica Ricardo Palma.
Insights
Ischemic colitis, often overlooked, affects older adults with risk factors like cardiovascular disease. Early colonoscopy aids diagnosis in patients presenting with abdominal pain and bleeding, enabling timely management.
Area of Science:
- Gastroenterology
- Vascular Medicine
Background:
- Ischemic colitis is linked to advanced age, cardiovascular disease, and certain therapies.
- It is considered uncommon but may be underdiagnosed in the general population.
Observation:
- Three elderly patients (>70 years) presented with abdominal cramps and mild lower gastrointestinal bleeding.
- Clinical suspicion was key to suspecting the condition.
Findings:
- Early colonoscopy proved instrumental in diagnosing ischemic colitis in these cases.
- All three patients experienced an uncomplicated recovery.
Implications:
- Highlights the importance of considering ischemic colitis in elderly patients with suggestive symptoms.
- Underscores the diagnostic value of early colonoscopy for prompt recognition and management.
- Acknowledges the potential for severe complications and mortality in recognized cases, emphasizing the need for vigilance.
Abstract:
Ischemic colitis has been associated with advanced age, cardiovascular disease, drug therapy and vascular surgery. It is an uncommon condition in the general population, but we think that not all cases are being recognized. These three patients, over 70 years old, were admitted with abdominal cramps and mild lower digestive bleeding . Clinical suspicion and early use of colonoscopy was helpful to establish the diagnosis. In these cases the recovery was uneventful, but in some others, severe complications and mortality can occur.
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