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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.
Abstract:
Ischaemic colitis results from a chronic or acute drop in the blood supply to the bowel and accounts for 6‒18% of the causes of acute lower gastrointestinal bleeding. Diabetes mellitus, hypotension, advanced age, aortic surgery and peripheral vascular disease have also been suggested to be predisposing factors for ischaemic colitis (1). In this report, we present a case of ischaemic colitis in haemodialysis with a good response to conservative treatment.
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