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Ischemic colitis caused increased early and delayed mortality.

Hayim Gilshtein1, Kenan Hallon1, Yoram Kluger1

  • 1Department of General Surgery, Rambam Health Care Campus, Hayim Gilshtein, 8 Haalia Street, Haifa, Israel.

World Journal of Emergency Surgery : WJES
|July 17, 2018
PubMed
Summary
This summary is machine-generated.

Ischemic colitis management is challenging. Older patients with comorbidities and high lactate levels face higher mortality risks, necessitating prompt surgical intervention based on clinical, laboratory, and imaging findings.

Keywords:
ColonoscopyComputed tomographyIschemic colitisMortality

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Internal Medicine

Background:

  • Ischemic colitis presents diagnostic and therapeutic challenges for surgeons.
  • Identifying patients who require surgical intervention is crucial.
  • Data from a tertiary center was analyzed to address these challenges.

Purpose of the Study:

  • To delineate patients with ischemic colitis who require surgical intervention.
  • To analyze risk factors associated with worse outcomes in ischemic colitis.

Main Methods:

  • A retrospective study was conducted on patients diagnosed with ischemic colitis between 2011 and 2016.
  • The study included 63 patients admitted to Rambam Health Care Campus.
  • Primary outcome was mortality; secondary outcomes included complications during conservative and postoperative care.

Main Results:

  • The overall mortality rate was 29% (18/63), with 50% mortality in surgically treated patients.
  • Mean patient age was 72.5 years, with a 62% female predominance.
  • Older age, comorbidities, and elevated lactate levels were identified as risk factors for adverse outcomes.

Conclusions:

  • Ischemic colitis management remains challenging, requiring a better understanding of the disease process.
  • Adherence to surgical principles for timely diagnosis and treatment is essential.
  • Particular attention should be given to older patients with concerning clinical, laboratory, and imaging features.