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[Ischemic colitis: a descriptive analysis in a Madrid hospital]
C de Ancos Aracil1, R Vivancos Velasco, V Estrada Pérez
1Hospital Clínico San Carlos, Madrid.
Revista Clinica Espanola
|January 12, 1999
Summary
Ischaemic colitis (IC) commonly affects elderly patients with cardiovascular risk factors. Prompt diagnosis and conservative management lead to favorable outcomes for most patients with this intestinal ischaemia.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pathology
Context:
- Ischaemic colitis (IC) is the most frequent type of intestinal ischaemia.
- Elderly patients with comorbidities are predominantly affected.
- Understanding local epidemiology and clinical features is crucial for patient care.
Purpose:
- To analyze the epidemiology and clinical characteristics of ischaemic colitis in a specific region.
- To identify common risk factors and presenting symptoms of IC.
- To evaluate the outcomes of conservative management for IC.
Summary:
- A retrospective analysis of 28 ischaemic colitis cases over two years was conducted.
- Non-occlusive IC was most common, affecting elderly patients (mean age 74) with cardiovascular risk factors.
- Abdominal pain was the primary symptom; colonoscopy revealed ulcerations, mainly in the descending colon and rectosigmoid. Conservative treatment yielded favorable results with a 10% mortality rate.
Impact:
- Highlights the importance of considering IC in elderly patients presenting with abdominal pain and cardiovascular risk factors.
- Provides data on the clinical course and outcomes of IC, supporting conservative management strategies.
- Contributes to the understanding of intestinal ischaemia in a specific patient population.