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Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
Usefulness of colonoscopy in ischemic colitis
M Lozano-Maya1, A Ponferrada-Díaz, C González-Asanza
1Service of Digestive Diseases, Section of Digestive Endoscopy, Hospital General Universitario Gregorio Marañón, Madrid, Spain. marlmaya@hotmail.com
Revista Espanola De Enfermedades Digestivas
|July 31, 2010
Summary
Ischemic colitis, a frequent cause of intestinal ischemia, predominantly affects older adults. Colonoscopy is crucial for assessing severity, guiding treatment, and improving outcomes, especially in urgent cases.
Area of Science:
- Gastroenterology
- Internal Medicine
- Vascular Surgery
Background:
- Ischemic colitis is the most common intestinal cause of ischemia.
- Understanding its demographic and clinical features is essential for effective management.
Purpose of the Study:
- To determine the demographic and clinical characteristics of patients with ischemic colitis.
- To evaluate the utility of colonoscopy in guiding therapeutic decisions for ischemic colitis.
Main Methods:
- A retrospective study of 112 patients diagnosed with ischemic colitis via colonoscopy and biopsy over five years.
- Analysis included patient demographics, risk factors, colonoscopy findings, therapeutic changes, treatment, and outcomes.
Main Results:
- The average age was 73.64 years; incidence was equal in men and women.
- Common symptoms included rectorrhagia (53.6%) and abdominal pain (30.4%), with 65.3% of cases presenting urgently.
- Colonoscopy altered therapeutic decisions in 50% of cases (65.75% in urgent cases), and severe colitis was associated with higher mortality (53.57%) and increased need for surgery (57.14%).
Conclusions:
- Ischemic colitis is more prevalent in older individuals, with rectorrhagia and abdominal pain as primary symptoms.
- Colonoscopy is a valuable tool for assessing colitis severity and influencing treatment strategies.
- Diagnosing severe ischemic colitis necessitates surgical intervention and is linked to a poorer prognosis.
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