Clinical approach to colonic ischemia

被引:62
作者
Elder, Kareem [2 ]
Lashner, Bret A. [3 ]
Al Solaiman, Firas [1 ]
机构
[1] Cleveland Clin, Dept Vasc Med, Cleveland, OH 44195 USA
[2] Collinwood Hlth Ctr, Dept Internal Med, Cleveland, OH USA
[3] Cleveland Clin, Dept Gastroenterol & Hepatol, Cleveland, OH 44195 USA
关键词
PROTEIN-S DEFICIENCY; V-LEIDEN MUTATION; INTESTINAL ISCHEMIA; MESENTERIC ISCHEMIA; COLITIS; COLONOSCOPY; BOWEL; MANAGEMENT; THROMBOSIS; EMBOLISM;
D O I
10.3949/ccjm.76a.08089
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Typical clinical manifestations of colonic ischemia include rapid onset of mild abdominal pain and tenderness over the affected bowel, followed by a mild amount of hematochezia within a day of the onset of pain. Most patients have transient, nongangrenous ischemia, but some have severe ischemia.
引用
收藏
页码:401 / 409
页数:9
相关论文
共 62 条
[1]  
Al Rogers., 1995, GASTROENTEROLOGY, V5th, P1212
[2]   The spectrum of ischaemic colitis [J].
Arnott, IDR ;
Ghosh, S ;
Ferguson, A .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1999, 11 (03) :295-303
[3]   Investigation and management of ischemic colitis [J].
Baixauli, J ;
Kiran, RP ;
Delaney, CP .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 2003, 70 (11) :920-+
[4]   Prothrombin 20210G/A mutation in two patients with mesenteric ischaemia [J].
Balian, A ;
Veyradier, A ;
Naveau, S ;
Wolf, M ;
Montembault, S ;
Giraud, V ;
Borotto, E ;
Henry, C ;
Meyer, D ;
Chaput, JC .
DIGESTIVE DISEASES AND SCIENCES, 1999, 44 (09) :1910-1913
[5]   Ischemic colitis: CT evaluation of 54 cases [J].
Balthazar, EJ ;
Yen, BC ;
Gordon, RB .
RADIOLOGY, 1999, 211 (02) :381-388
[6]   AGE-RELATED-CHANGES IN COLONIC BLOOD-SUPPLY - THEIR RELEVANCE TO ISCHEMIC COLITIS [J].
BINNS, JC ;
ISAACSON, P .
GUT, 1978, 19 (05) :384-390
[7]  
BLANC P, 1989, GASTROEN CLIN BIOL, V13, P945
[8]  
Boley S J, 1978, Curr Probl Surg, V15, P1, DOI 10.1016/S0011-3840(78)80018-5
[9]   PATHOPHYSIOLOGIC EFFECTS OF BOWEL DISTENTION ON INTESTINAL BLOOD FLOW [J].
BOLEY, SJ ;
AGRAWAL, GP ;
WARREN, AR ;
VEITH, FJ ;
LEVOWITZ, BS ;
TREIBER, W ;
DOUGHERTY, J ;
SCHWARTZ, SS ;
GLIEDMAN, ML .
AMERICAN JOURNAL OF SURGERY, 1969, 117 (02) :228-+
[10]  
BOLEY SJ, 1990, AM J GASTROENTEROL, V85, P931