Ischemic colitis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Frequent clinical follow up of the abdomen, careful monitoring of vital signs and serial radiographic and colonoscopic examinations are needed. Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing. This procedure offers a survival rate of almost 65%.
Secondary Prevention
- The secondary prevention for ischemic colitis is as follows:[1][2]
- Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis.
- Careful monitoring of vital signs.
- Serial radiographic and colonoscopic examinations.
- Clinical suspicion of colonic infarction requires an emergency laparotomy.
- Patient may have persistent diarrhea, rectal bleeding or repeated episodes of sepsis, which may lead to perforation.
- Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing.
- This procedure offers a survival rate of almost 65%.
References
- ↑ Misiakos, Evangelos P.; Tsapralis, Dimitrios; Karatzas, Theodore; Lidoriki, Irene; Schizas, Dimitrios; Sfyroeras, George S.; Moulakakis, Konstantinos G.; Konstantos, Chrysostomos; Machairas, Anastasios (2017). "Advents in the Diagnosis and Management of Ischemic Colitis". Frontiers in Surgery. 4. doi:10.3389/fsurg.2017.00047. ISSN 2296-875X.
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.