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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
125
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

146
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
146
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

189
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
189
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

394
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
394
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

53
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
53
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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Published on: September 27, 2024

223

Risk Factors Associated with Progression to Surgery in Patients with Ischemic Colitis.

Je-Seong Kim1, Ho-Jin Choi1, Chan-Mook Im1

  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|October 25, 2024
PubMed
Summary
This summary is machine-generated.

Fever, right-sided colon involvement, and lack of hematochezia are key indicators for potential surgery in ischemic colitis (IC) patients. Early detection and a multidisciplinary approach are vital for managing this common gastrointestinal condition.

Keywords:
ColonIschemiaRiskSurgery

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Internal Medicine

Background:

  • Ischemic colitis (IC) is the most frequent ischemic condition affecting the gastrointestinal tract, stemming from reduced colonic blood flow.
  • Persistent symptoms of IC can lead to severe complications, often requiring surgical intervention.
  • Understanding risk factors for poor outcomes is crucial for effective patient management.

Purpose of the Study:

  • To assess the clinical characteristics of patients diagnosed with ischemic colitis.
  • To identify significant risk factors associated with poor outcomes and the need for surgery in IC patients.

Main Methods:

  • A retrospective observational study was conducted, analyzing the medical records of 141 patients diagnosed with IC.
  • Data were collected from patients who underwent surgical biopsy or colonoscopy between April 2004 and August 2023.
  • Multivariate analysis was employed to determine independent risk factors for disease progression.

Main Results:

  • Right-sided colon involvement, fever, and absence of hematochezia were identified as significant risk factors for progression to surgery.
  • In-hospital mortality was 5.7%, with higher rates of shock observed in non-survivors.
  • Patients with longer hospital stays (≥14 days) showed a higher incidence of fever and a lower incidence of hematochezia.

Conclusions:

  • A multidisciplinary approach is essential for surgical decision-making in IC patients presenting with right-sided colon involvement, fever, or absence of hematochezia.
  • Identifying these risk factors can guide timely and appropriate interventions for ischemic colitis.