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Updated: May 19, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Clinical characteristics of ischemic bowel disease in young and middle-aged patients]
1Department of Gastroenterology, Renmin Hospital, Wuhan University, Wuhan 430060, China.
Objective:
To explore the clinical characteristics of ischemic bowel disease (IBD) in young and middle-aged patients (aged under 65 years old).
Methods:
A total of 33 young and middle-aged IBD patients from January 1997 to July 2011 at Department of Gastroenterology, Renmin Hospital of Wuhan University were studied retrospectively.
Results:
Among them, 4 patients underwent surgical procedures while 29 patients received conservative medical management. All became cured after correct treatment. The disease with a nighttime onset took up 36.4% (12/33). Among them, 21.2% (7/33) took oral contraceptives previously. Patients with no specific pre-existing condition accounted for 39.4% (13/33). Abdominal pain and hematochezia were the chief complaints of all patients. The laboratory findings were non-specific. The radiographic examination remained a major diagnostic tool. And 51.5% (17/33) patients had typical colonoscopic manifestations.
Conclusion:
More attention should be paid to young and middle-aged patients with classic abdominal pain, hematochezia and a lack of baseline cardiovascular disease.
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