Ischemic colitis surgery
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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
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:[1][2]
- 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
- ↑ Baixauli J, Kiran RP, Delaney CP (2003). "Investigation and management of ischemic colitis". Cleve Clin J Med. 70 (11): 920–1, 925–6, 928-30 passim. PMID 14650467.
- ↑ 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.