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Related Experiment Videos

Ischemic colitis

C L Cogbill, J Makkar, H A Campana

    The American Surgeon
    |March 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Ischemic colitis diagnosis is often made during surgery or autopsy. Early diagnosis via barium enema aids in managing transient forms, while severe cases require surgical intervention for better outcomes.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Ischemic colitis presents with abdominal pain, tenderness, and distention.
    • The condition has transient, stricturing, and gangrenous forms.

    Observation:

    • Diagnosis in this study was confirmed intraoperatively or post-mortem.
    • Barium enema can diagnose transient and stricturing ischemic colitis.
    • Gangrenous ischemic colitis is difficult to differentiate from other abdominal emergencies without surgery.

    Findings:

    • Five patients had transient colitis, two stricturing, and eight gangrenous.
    • Surgery for stricturing colitis resulted in survival for both patients.
    • Surgery for gangrenous colitis had a survival rate of one out of three patients.

    Implications:

    • Transient ischemic colitis is self-limiting and recovery is expected.
    • Stricturing colitis may necessitate laparotomy and resection.
    • Bowel resection without anastomosis is recommended for gangrenous ischemic colitis found during celiotomy.