Ischaemic Colitis during Haemodialysis

F Sapmaz1, I H Kalkan2, S Guliter2

  • 1Kirikkale University, Faculty of Medicine, Department of Gastroenterology, Kirikkale, Turkey,

Insights

Ischaemic colitis, a bowel condition from reduced blood supply, is linked to factors like diabetes. This case study shows conservative treatment effectively managed ischaemic colitis in a patient undergoing haemodialysis.

Area of Science:

  • Gastroenterology
  • Nephrology
  • Vascular Medicine

Background:

  • Ischaemic colitis is a significant cause of acute lower gastrointestinal bleeding (6-18%).
  • Predisposing factors include diabetes mellitus, hypotension, advanced age, aortic surgery, and peripheral vascular disease.
  • The condition arises from compromised blood supply to the bowel.

Purpose of the Study:

  • To report a case of ischaemic colitis in a patient undergoing haemodialysis.
  • To evaluate the response to conservative treatment in this specific patient population.

Main Methods:

  • Case report presentation.
  • Review of clinical data for a patient with ischaemic colitis on haemodialysis.
  • Assessment of treatment outcomes with conservative management.

Main Results:

  • The patient presented with ischaemic colitis.
  • Conservative treatment was initiated.
  • A good clinical response to conservative treatment was observed.

Conclusions:

  • Ischaemic colitis can occur in patients on haemodialysis.
  • Conservative management may be an effective treatment strategy for ischaemic colitis in haemodialysis patients.
  • This case highlights the importance of considering ischaemic colitis in the differential diagnosis for gastrointestinal bleeding in this patient group.

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