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. 2001 Aug;93(8):501-8.

Experience and results on the surgical and medical treatment of ischaemic colitis

[Article in English, Spanish]
V Pla Martí  1 , R Alós Company, M D Ruiz Carmona, A Solana Bueno, J V Roig Vila
Affiliations
  • PMID: 11692779

Experience and results on the surgical and medical treatment of ischaemic colitis

[Article in English, Spanish]
V Pla Martí et al. Rev Esp Enferm Dig. 2001 Aug.

Abstract

Objective: To analyse differences between patients with transient forms of ischemic colitis managed with medical treatment and those developing gangrenous forms subsidiaries of surgical treatment.

Material and methods: Retrospective study (1991-1998) of the ischemic colitis cases occurred in our center separating into two groups according to treatment received (A group: medical, 19 patients; B group: surgical, 10 patients).

Results: Hypertension mainly appear in B group being average age higher in this group than in A group (p < 0.05). Other risk factors analysed such as diabetes, cardiovascular disease, renal failure or consume of different drugs appear in similar way in both groups. In A group patients clinical presentation hematochezia is typical while B group use to start with acute abdomen associated to abdominal distension and hyperleukocytosis (p < 0.05). In group B average estance, morbidity and mortality have been higher than in A (17.4 vs 8.6 days 70 vs 5%, 40 vs 0%, respectively).

Conclusion: Hypertension and advanced age are associated risk factors of gangrenous ischemic colitis. The classic clinical presentation of abdominal pain and hematochezia is typical in transient forms. Patients who need a surgical operation for ischemic colitis have a high morbimortality.

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Comment in

  • Ischaemic colitis.
    Torres AJ, Sánchez-Pernaute A. Torres AJ, et al. Rev Esp Enferm Dig. 2001 Aug;93(8):497-500. Rev Esp Enferm Dig. 2001. PMID: 11692778 English, Spanish. No abstract available.