Ischemic colitis problems of diagnosis and treatment
Objective: The aim of the study is to evaluate the characteristics of colonic ischemia and to identfy clinicobiological factors. Methods We performed a retrospective study of 20 patients in whom the diagnosis was made intraoperatively and confirmed pathologically, between 2010 and 2015. We classifi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
GESDAV
2018-06-01
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| Series: | Archives of Clinical and Experimental Surgery |
| Subjects: | |
| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=269887 |
| _version_ | 1797910957031161856 |
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| author | Cristian Mesina Theodor Viorel Dumitrescu Cosmin Vasile Obleaga Daniela Ciobanu |
| author_facet | Cristian Mesina Theodor Viorel Dumitrescu Cosmin Vasile Obleaga Daniela Ciobanu |
| author_sort | Cristian Mesina |
| collection | DOAJ |
| description | Objective: The aim of the study is to evaluate the characteristics of colonic ischemia and to identfy clinicobiological factors.
Methods
We performed a retrospective study of 20 patients in whom the diagnosis was made intraoperatively and confirmed pathologically, between 2010 and 2015. We classified ischemic colitis into reversible and irreversible types (gangrenous colitis). The influence of factors such as medical history, symptoms, physical examination, laboratory abnormalities, perioperative issues, complications and mortality was evaluated.
Results
Irreversible ischemic colitis (gangrenous ischemic type) was found in 5 patients. Pancolitis was most commonly observed for fulminant gangrenous colitis. Analysis of the clinicobiological factors indicated four predictive factors for gangrenous colitis: abdominal tenderness, absence of hematochezia, absence of diarrhea and albumin level.
Conclusion
Absence of hematochezia and diarrhea, presence of abdominal tenderness and hypoalbuminemia could be predictive factors for gangrenous changes of ischemic colitis. [Arch Clin Exp Surg 2018; 7(2.000): 59-64] |
| first_indexed | 2024-04-10T11:32:44Z |
| format | Article |
| id | doaj.art-0afde60905914857b3f1aaf4da552ed0 |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T11:32:44Z |
| publishDate | 2018-06-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-0afde60905914857b3f1aaf4da552ed02023-02-15T16:17:58ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332018-06-0172596410.5455/aces.20170816073935269887Ischemic colitis problems of diagnosis and treatmentCristian Mesina0Theodor Viorel Dumitrescu1Cosmin Vasile Obleaga2Daniela Ciobanu3Department of Surgery, Emergency Hospital of Craiova, University of Medicine and Pharmacy of Craiova, No. 2, Petru Rareș Street, Craiova, Dolj, Romania, 200349Department of Surgery, Emergency Hospital of Craiova, University of Medicine and Pharmacy of Craiova, No. 2, Petru Rareș Street, Craiova, Dolj, Romania, 200349Department of Surgery, Emergency Hospital of Craiova, University of Medicine and Pharmacy of Craiova, No. 2, Petru Rareș Street, Craiova, Dolj, Romania, 200349Department of Gastroentrology, Emergency Hospital of Craiova, University of Medicine and Pharmacy of Craiova, No. 2, Petru Rareș Street, Craiova, Dolj, Romania, 200349Objective: The aim of the study is to evaluate the characteristics of colonic ischemia and to identfy clinicobiological factors. Methods We performed a retrospective study of 20 patients in whom the diagnosis was made intraoperatively and confirmed pathologically, between 2010 and 2015. We classified ischemic colitis into reversible and irreversible types (gangrenous colitis). The influence of factors such as medical history, symptoms, physical examination, laboratory abnormalities, perioperative issues, complications and mortality was evaluated. Results Irreversible ischemic colitis (gangrenous ischemic type) was found in 5 patients. Pancolitis was most commonly observed for fulminant gangrenous colitis. Analysis of the clinicobiological factors indicated four predictive factors for gangrenous colitis: abdominal tenderness, absence of hematochezia, absence of diarrhea and albumin level. Conclusion Absence of hematochezia and diarrhea, presence of abdominal tenderness and hypoalbuminemia could be predictive factors for gangrenous changes of ischemic colitis. [Arch Clin Exp Surg 2018; 7(2.000): 59-64]http://www.ejmanager.com/fulltextpdf.php?mno=269887ischemic colitisgangrenous colitispancolitis |
| spellingShingle | Cristian Mesina Theodor Viorel Dumitrescu Cosmin Vasile Obleaga Daniela Ciobanu Ischemic colitis problems of diagnosis and treatment Archives of Clinical and Experimental Surgery ischemic colitis gangrenous colitis pancolitis |
| title | Ischemic colitis problems of diagnosis and treatment |
| title_full | Ischemic colitis problems of diagnosis and treatment |
| title_fullStr | Ischemic colitis problems of diagnosis and treatment |
| title_full_unstemmed | Ischemic colitis problems of diagnosis and treatment |
| title_short | Ischemic colitis problems of diagnosis and treatment |
| title_sort | ischemic colitis problems of diagnosis and treatment |
| topic | ischemic colitis gangrenous colitis pancolitis |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=269887 |
| work_keys_str_mv | AT cristianmesina ischemiccolitisproblemsofdiagnosisandtreatment AT theodorvioreldumitrescu ischemiccolitisproblemsofdiagnosisandtreatment AT cosminvasileobleaga ischemiccolitisproblemsofdiagnosisandtreatment AT danielaciobanu ischemiccolitisproblemsofdiagnosisandtreatment |