Ischemic colitis secondary prevention: Difference between revisions
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==Secondary Prevention== | ==Secondary Prevention== | ||
*The secondary prevention for ischemic colitis is as follows: | *The 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 strictures or persistent colitis. | ||
**Careful monitoring of vital signs. | **Careful monitoring of vital signs. | ||
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**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 mucosa and the anastomotic healing. | ||
***This procedure offers a survival rate of almost 65%. | ***This procedure offers a survival rate of almost 65%. | ||
==References== | ==References== | ||
Revision as of 15:38, 8 January 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.
Secondary Prevention
- 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.