Ischemic colitis secondary prevention: Difference between revisions
Jump to navigation
Jump to search
Hamid Qazi (talk | contribs) |
Hamid Qazi (talk | contribs) No edit summary |
||
| (4 intermediate revisions by the same user not shown) | |||
| Line 4: | Line 4: | ||
{{CMG}}; {{AE}} {{HQ}} | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
Frequent clinical follow up of the abdomen, careful monitoring of vital signs and serial radiographic and colonoscopic examinations are needed. | Frequent clinical follow up of the [[abdomen]], careful monitoring of [[vital signs]] and serial [[Radiography|radiographic]] and [[Colonoscopy|colonoscopic]] examinations are needed. Small delay in second-look operation, 72 hours, promotes the viability of the colonic [[Mucous membrane|mucosa]] and the [[Anastomosis|anastomotic]] healing. This procedure offers a [[survival rate]] of almost 65%. | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
*The secondary prevention for ischemic colitis is as follows: | *The [[Prevention (medical)|secondary prevention]] for ischemic colitis is as follows:<ref name="MisiakosTsapralis2017">{{cite journal|last1=Misiakos|first1=Evangelos P.|last2=Tsapralis|first2=Dimitrios|last3=Karatzas|first3=Theodore|last4=Lidoriki|first4=Irene|last5=Schizas|first5=Dimitrios|last6=Sfyroeras|first6=George S.|last7=Moulakakis|first7=Konstantinos G.|last8=Konstantos|first8=Chrysostomos|last9=Machairas|first9=Anastasios|title=Advents in the Diagnosis and Management of Ischemic Colitis|journal=Frontiers in Surgery|volume=4|year=2017|issn=2296-875X|doi=10.3389/fsurg.2017.00047}}</ref><ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref> | ||
**Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis. | **Frequent clinical follow up of the [[abdomen]] to document [[healing]] or the development of [[Stenosis|strictures]] or persistent [[colitis]]. | ||
**Careful monitoring of vital signs. | **Careful monitoring of [[vital signs]]. | ||
**Serial radiographic and colonoscopic examinations. | **Serial [[Radiography|radiographic]] and [[Colonoscopy|colonoscopic]] examinations. | ||
**Clinical suspicion of colonic infarction requires an emergency laparotomy | **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. | **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. | **Small delay in second-look operation, 72 hours, promotes the viability of the colonic [[Mucous membrane|mucosa]] and the [[Anastomosis|anastomotic]] [[healing]]. | ||
***This procedure offers a survival rate of almost 65%. | ***This procedure offers a [[survival rate]] of almost 65%. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | {{WH}} | ||
{{WS}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category: | [[Category:Medicine]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
Latest revision as of 14:36, 2 February 2018
|
Ischemic colitis Microchapters |
|
Case Studies |
|
Ischemic colitis secondary prevention On the Web |
|
American Roentgen Ray Society Images of Ischemic colitis secondary prevention |
|
Risk calculators and risk factors for Ischemic colitis secondary prevention |
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.