Ischemic colitis surgery: Difference between revisions

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Revision as of 14:49, 8 January 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

The mainstay of treatment for ischemic colitis is medical therapy. Surgery is usually reserved for patients with either sepsis, persistent fever and leukocytosis, peritoneal irritation, protracted pain, diarrhea or bleeding, protein-losing colopathy for more than 14 d, free intra-abdominal air, or endoscopically-proved extensive gangrene.

Indications

Surgery is not the first-line treatment option for patients with ischemic colitis. Surgery is usually reserved for patients with either:
- Sepsis
- Persistent fever and leukocytosis
- Peritoneal irritation
- Protracted pain
- Diarrhea or bleeding
- Protein-losing colopathy for more than 14 days
- Free intra-abdominal air
- Endoscopically-proven extensive gangrene

Surgery

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

References

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@@ Line 4: / Line 4: @@
 ==Overview==
-Surgical intervention is not recommended for the management of [disease name].
+The mainstay of treatment for ischemic colitis is medical therapy. Surgery is usually reserved for patients with either sepsis, persistent fever and leukocytosis, peritoneal irritation, protracted pain, diarrhea or bleeding, protein-losing colopathy for more than 14 d, free intra-abdominal air, or endoscopically-proved extensive gangrene.
-OR
-Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
-OR
-The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
-OR
-The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
-OR
-Surgery is the mainstay of treatment for [disease or malignancy].
 ==Indications==
+*Surgery is not the first-line treatment option for patients with ischemic colitis. Surgery is usually reserved for patients with either:
-*Surgical intervention is not recommended for the management of [disease name].
+**Sepsis
-OR
+**Persistent fever and leukocytosis
-*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
+**Peritoneal irritation
-**[Indication 1]
+**Protracted pain
-**[Indication 2]
+**Diarrhea or bleeding
-**[Indication 3]
+**Protein-losing colopathy for more than 14 days
-*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
+**Free intra-abdominal air
-**[Indication 1]
+**Endoscopically-proven extensive gangrene
-**[Indication 2]
-**[Indication 3]
 ==Surgery==