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: | ||
**Frequent clinical follow up of the abdomen. | **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. | ||
**Serial radiographic and colonoscopic examinations. | **Serial radiographic and 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. | |||
**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== | ==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
- The secondary prevention for ischemic colitis is as follows:
- 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%.