Outcome of Patients With Ischemic Colitis: Review of Fifty-Three Cases

@article{Medina2004OutcomeOP,
  title={Outcome of Patients With Ischemic
Colitis: Review of Fifty-Three Cases},
  author={Carlos Medina and Jaime Vilaseca and Sebasti{\'a}n Videla and Ram{\'o}n Fabra and J. R. Armengol-Mir{\'o} and Juan Ram{\'o}n Malagelada},
  journal={Diseases of the Colon \& Rectum},
  year={2004},
  volume={47},
  pages={180-184}
}
PURPOSE: Ischemic colitis is a disease of elderly patients and includes a wide clinical spectrum ranging from mild to severe forms. Some patients may develop complications. Management of this disorder depends on disease severity. Our aim was to review the clinical characteristics of patients diagnosed of ischemic colitis and analyze predictive factors of poor prognosis. METHODS: This study is a retrospective analysis of 53 cases of ischemic colitis (33 men, 20 women), 35 with moderate and 18… 
Clinical Features and Prognostic Factors in Ischemic Colitis.
TLDR
Diabetes mellitus, colonic involvement of more than three segments and the presence of an ulcer on a colonoscopic finding are important predictive factors of poor prognosis in patients with ischemic colitis.
Predictors of severity in ischemic colitis: Usefulness of early ultrasonography.
TLDR
Sonographic features with clinical findings can predict the outcome of ischemic colitis, and the predictive model could differentiate properly between patients with mild or severe ischeic colitis.
[Clinical outcomes in ischemic colitis: according to the colonoscopic extent and feature].
TLDR
Evaluating the involved sites, the degree and severity of mucosal damage by colonoscopy may be important in predicting the clinical course and prognosis of the patients with IC.
Factors predicting poor prognosis in ischemic colitis.
TLDR
The factors that can predict poor prognosis of IC are the absence of hematochezia, tachycardia and peritonism, anemia and hyponatremia and stenosis.
Predictive Factors for Severe Outcomes in Ischemic Colitis
TLDR
If patients diagnosed with ischemic colitis are also treated for chronic kidney disease or have poor performance status, more attention and early intervention are necessary.
Ischemic colitis—analysis of risk factors for postoperative mortality
TLDR
The mortality of patients requiring surgery for ischemic colitis will remain high as the majority of afflicted patients are patients with significant comorbidities in a reduced general condition, but earlier diagnosis and measures to reduce blood loss may contribute to improving the overall outcome.
Ischemic colitis in the elderly: Predictors of the disease and prognostic factors to negative outcome
TLDR
The absence of hematochezia and the presence of a concomitant malignancy, HCV, a marked increase in urea and LDH and disease involving only the right colon are factors that may predict a negative outcome in elderly patients.
Comparison of Ischemic Colitis in the Young and the Elderly.
TLDR
All patients in this “young” age group experienced rectal bleeding and their hospital stay was shorter than the older group, and drugs and vasculitis was the most common precipitating factor for ischemic colitis in the younger age group.
Chronic ischemic colitis mimicking Crohn's disease: A case report
TLDR
A 59-year-old female who has multiple comorbid presented with progressive abdominal pain associated with diarrhea and rectal bleeding and surgical pathology confirmed chronic ischemic colitis, mimicking Crohn’s disease.
Risk factors associated with the development of ischemic colitis
TLDR
The development of an episode of IC was independently associated with diabetes, dyslipidemia, presence of heart failure, peripheral arterial disease and treatment with digoxin or ASA.
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References

SHOWING 1-10 OF 18 REFERENCES
Right colonic involvement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failure requiring hemodialysis
TLDR
Right colonic involvement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failure requiring hemodialysis.
Ischemic colitis: Patterns and prognosis
TLDR
Elderly and diabetic patients, as well as those developing ischemia following aortic surgery or hypotension, continue to have a poor prognosis, and ischemic colitis often occurs without an obvious predisposing event, may involve all segments of the large intestine, and frequently requires surgery.
The spectrum of ischaemic colitis.
TLDR
Ischaemic colitis appears to have two patterns of severity, more variable than a developmental explanation of the vascular supply, and clotting abnormalities may be detected in a minority even on retrospective testing.
Ischaemic colitis: two distinct patterns of severity.
TLDR
This review covers diagnosis, predisposing factors, lesion distribution, treatment, and results of ischaemic colitis based on reports and the own six year series of 34 patients of which 13 were treated surgically and 21 conservatively.
Colonic ischemia.
TLDR
Successful management of a patient with ischemic colitis requires a high degree of clinical suspicion, early diagnosis, careful follow-up, and prompt recognition of persistent disease.
[Ischemic colitic in the elderly: predictive factors of gangrenous outcome].
TLDR
Patients older than 60 years suffering from ischemic colitis are at high risk of gangrenous course if they have hypertension or history of cancer.
Colitis: use of CT findings in differential diagnosis.
TLDR
Although many CT findings in patients with colitis are nonspecific, some features are helpful in suggesting a specific diagnosis.
Amyloidosis of the colon presenting as ischemic colitis: A case report and review of the literature
TLDR
A case of primary amyloidosis is presented that demonstrates the findings of bowel wall thickening and luminal narrowing on doublecontrast barium enema and computed tomography (CT).
Segmental ischemic colitis associated with nonsteroidal antiinflammatory drugs.
TLDR
It is suggested that ischemia should be considered a possible mechanism of NSAID-associated colitis, and such ischemic colitis may be related to NSAIDs more often than currently recognized.
Acute Colitis Associated with Prolonged Administration of Neuroleptics
TLDR
This case strongly supports the view that neuroleptic agents, in particular phenothiazines, may induce acute colitis and that haloperidol, a butyrophenone derivative, or sultopride, a benzamide-related neuroleptic, can be administered thereafter without recurrence of the disease.
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