ischemic colitis; ischemic bowel; colonic ischemia

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Etiology

Epidemiology

  • much more common than acute or chronic mesenteric ischemia
  • occurs in older patients with atherosclerosis
  • 90% of patients > 60 years of age
  • occurs in others (see etiology)
  • more common in women[3]

Pathology

Clinical manifestations

Laboratory

* priority over colonoscopy due to concern for toxic megacolon (GRS9)[3]

Diagnostic procedures

Radiology

Complications

Differential diagnosis

Management

More general terms

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018, 2021.
  2. 2.0 2.1 2.2 Brandt LJ et al. Anatomic patterns, patient characteristics, and clinical outcomes in ischemic colitis: A study of 313 cases supported by histology. Am J Gastroenterol 2010 Oct; 105:2245 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20531399
  3. 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
    Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
    Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
  4. 4.0 4.1 Cubiella Fernandez J, Nunez Calvo L, Gonzalez Vazquez E et al Risk factors associated with the development of ischemic colitis. World J Gastroenterol. 2010 Sep 28;16(36):4564-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20857527
  5. 5.0 5.1 Paterno F, McGillicuddy EA, Schuster KM, Longo WE. Ischemic colitis: risk factors for eventual surgery. Am J Surg. 2010 Nov;200(5):646-50. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21056146
  6. Tadros M, Majumder S, Birk JW. A review of ischemic colitis: is our clinical recognition and management adequate? Expert Rev Gastroenterol Hepatol. 2013 Sep;7(7):605-13. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24070152
  7. Trotter JM, Hunt L, Peter MB. Ischaemic colitis. BMJ. 2016 Dec 22;355:i6600. PMID: https://www.ncbi.nlm.nih.gov/pubmed/28007701 Free Article
  8. Oglat A, Quigley EM. Colonic ischemia: usual and unusual presentations and their management. Curr Opin Gastroenterol. 2017;33:34-40. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27798439