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==Overview==
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==
*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 [[Stenosis|strictures]] or persistent [[colitis]].
**Careful monitoring of [[vital signs]].
**Serial [[Radiography|radiographic]] and [[Colonoscopy|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 [[Mucous membrane|mucosa]] and the [[Anastomosis|anastomotic]] [[healing]].
***This procedure offers a [[survival rate]] of almost 65%.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 14:36, 2 February 2018

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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

References

  1. 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.
  2. 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.

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